Individual
DR. NELSON ROGER COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00014697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003168000
—
ID
05
—
1046101
—
WA
01
—
268
GROUP HEALTH
—
01
—
31509
LABOR AND INDUSTRIES
WA
05
—
35-9723
—
MT
05
—
4853935
—
CA
05
—
907228400
—
FL
01
—
AB32999
MDC GROUP
WA
01
—
E01203
ASURIS
—
01
—
KA634
BLUE CROSS OF IDAHO
—
Enumeration date
06/30/2006
Last updated
10/15/2015
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