Individual
DR. JASON J COOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4444 N 32ND ST STE 175, PHOENIX, AZ 85018-3999
(602) 952-0002
(602) 224-9119
Mailing address
4444 N 32ND ST STE 175, PHOENIX, AZ 85018-3999
(602) 952-0002
(602) 224-9119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
31030
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763632
—
AZ
01
—
86-0338466
TAX-ID
AZ
Enumeration date
07/22/2005
Last updated
03/05/2019
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