Organization
W. DONALD COOKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W DONALD COOKE M.D. (OWNER)
(970) 259-0780
Entity
Organization
Contact information
Practice address
1800 E 3RD AVE STE 108, DURANGO, CO 81301-5016
(970) 259-0780
(970) 382-2620
Mailing address
1800 E 3RD AVE STE 108, DURANGO, CO 81301-5016
(970) 259-0780
(970) 382-2620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207RA0201X
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01342625
—
CO
Enumeration date
03/29/2007
Last updated
06/24/2008
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