Individual
DARCY C COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4701 MONTGOMERY BLVD NE, LOVELACE MEDICAL GROUP BREAST CARE CENTER, ALBUQUERQUE, NM 87109-1219
(505) 727-6900
(505) 727-6913
Mailing address
4701 MONTGOMERY BLVD NE, BREAST CARE CENTER, ALBUQUERQUE, NM 87109-1219
(505) 727-6900
(505) 727-6913
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2003-0015
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2535033
—
NM
Enumeration date
10/04/2006
Last updated
04/06/2016
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