Individual
BEN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7512 MORRO RD, ATASCADERO, CA 93422-4404
(805) 792-1400
(805) 792-1485
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A159094
CA
Other
Enumeration date
08/04/2016
Last updated
10/28/2020
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