Individual
MRS. SARA E COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2230 STAFFORD RD, SUITE 145, PLAINFIELD, IN 46168-2793
(317) 754-5080
(317) 754-5085
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01071359A
IN
208000000X
Pediatrics Physician
01071359A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201086100
—
IN
Enumeration date
06/03/2008
Last updated
03/23/2021
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