Individual
DR. JACK R COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1803 PAPIO LN, COZAD, NE 69130-1138
(308) 784-3535
(308) 784-3534
Mailing address
1803 PAPIO LANE, PO BOX 86, COZAD, NE 69130-0086
(308) 784-3535
(308) 784-3534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
274
NE
Other
Enumeration date
07/20/2006
Last updated
10/10/2014
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