Organization
H. RUSSELL COOK, P.C.
Active
Other names
H. Russell Cook, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. H. RUSSELL COOK D.O. (OWNER)
(334) 393-1056
Entity
Organization
Contact information
Practice address
207 E WATTS ST, SUITE 220, ENTERPRISE, AL 36330-1801
(334) 393-1056
(334) 393-6187
Mailing address
PO BOX 310210, ENTERPRISE, AL 36331-0210
(334) 393-1056
(334) 393-6187
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
DO126
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014819
—
AL
Enumeration date
05/01/2013
Last updated
12/09/2015
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