Individual
DR. LINDA M COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 248-3900
(573) 248-3902
Mailing address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 248-3900
(573) 248-3902
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2004009689
MO
207ND0101X
MOHS-Micrographic Surgery Physician
2004009689
MO
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
2004009689
MO
207NS0135X
Procedural Dermatology Physician
2004009689
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209341403
—
MO
Enumeration date
01/11/2006
Last updated
05/02/2014
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