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Individual

DR. JERED M. COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3433 NW 56TH ST STE 660, OKLAHOMA CITY, OK 73112-4449
(405) 947-3341
(405) 917-3590
Mailing address
3433 NW 56TH ST STE 400, OKLAHOMA CITY, OK 73112-4430
(405) 947-3341
(405) 917-3590

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34453
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0304338
OH
05
200849050A
OK
Enumeration date
08/27/2012
Last updated
11/19/2019
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