Individual
TANNER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3540 E BASELINE RD STE 130, PHOENIX, AZ 85042-9629
(623) 251-7559
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7572
AZ
Other
Enumeration date
10/30/2018
Last updated
01/17/2022
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