Individual
DR. NELSON ROGER COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
212 E CENTRAL, STE 440, SPOKANE, WA 99208
(509) 252-9602
(509) 789-9031
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
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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