Individual
DR. JOHN RICHARD COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 UNION ST STE 110, BOONE, IA 50036-4821
(515) 433-8173
(515) 433-0696
Mailing address
PO BOX 542, BOONE, IA 50036-0542
(515) 433-8173
(515) 433-0696
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
19888
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0161281
—
IA
01
—
316794
BLUE CROSS/BLUE SHIELD
IA
01
—
3184
MIDLANDS CHOICE
IA
Enumeration date
04/18/2006
Last updated
10/09/2007
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