Individual
MARY V COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 43214-3912
(614) 268-8164
(614) 268-8406
Mailing address
3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 43214-3912
(614) 268-8164
(614) 268-8406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-07-8959
OH
208M00000X
Hospitalist Physician
Primary
35.078959
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2252342
—
OH
Enumeration date
11/30/2005
Last updated
03/16/2011
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