Individual
TIMOTHY R COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4509 E MCCAIN BLVD, NORTH LITTLE ROCK, AR 72117-2902
(501) 955-7676
(501) 945-0906
Mailing address
PO BOX 7666, LITTLE ROCK, AR 72217-7666
(501) 753-2424
(501) 753-2733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E0808
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129138001
—
AR
Enumeration date
02/01/2006
Last updated
10/10/2017
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