Individual
MS. STACY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR, COLORADO SPRINGS, CO 80913-4613
(719) 526-2092
Mailing address
PO BOX 13518, COLORADO SPRINGS, CO 80902-0518
(757) 879-4352
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
02/27/2018
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