Individual
DUSTIN COOK
Active
Individual
DUSTIN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
76505773102
UT
363LF0000X
Family Nurse Practitioner
Primary
7650577-4405
UT
Other
Enumeration date
06/02/2020
Last updated
09/30/2021
Update your record
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