Individual
SCOTT JOSEPH COOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1851 MESQUITE AVE STE 210, LAKE HAVASU CITY, AZ 86403-5681
(928) 854-7540
(928) 854-2505
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7782
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
176625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438946
—
AZ
Enumeration date
10/20/2005
Last updated
03/02/2022
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