Individual
DR. THEODORE R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 N MAIN ST, STE 300, NEWTON, KS 67114-3444
(316) 282-9614
(316) 284-9602
Mailing address
301 N MAIN ST, STE 300, NEWTON, KS 67114-3444
(316) 282-9614
(316) 284-9602
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-23091
KS
207Q00000X
Family Medicine Physician
04-23091
KS
Other
Enumeration date
08/30/2006
Last updated
09/21/2007
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