Organization
AUSTIN PRIMARY CARE LLC
Active
Other names
Austin Primary Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C COOK DO (PRESIDENT)
(330) 745-3151
Entity
Organization
Contact information
Practice address
101 5TH STREET SE, SUITE G, BARBERTON, OH 44203-4225
(330) 745-3151
(330) 745-9984
Mailing address
101 5TH STREET SE, SUITE G, BARBERTON, OH 44203-4225
(330) 745-3151
(330) 745-9984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
OH
207Q00000X
Family Medicine Physician
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2841661
—
OH
01
—
9054194
AETNA
—
Enumeration date
06/02/2008
Last updated
07/29/2014
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