Individual
DR. JIM MATTSON COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654
(907) 357-9590
(907) 357-9593
Mailing address
3122 E MERIDIAN PARK LOOP, WASILLA, AK 99654
(907) 357-9590
(907) 357-9593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8233
AK
Other
Enumeration date
06/15/2011
Last updated
07/24/2015
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