Individual
DAVID TOM COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 STOCKTON BLVD, ROOM 2112, SACRAMENTO, CA 95817-1418
(916) 734-3861
(916) 734-3066
Mailing address
2221 STOCKTON BLVD, ROOM 2112, SACRAMENTO, CA 95817-1418
(916) 734-3861
(916) 734-3066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301088189
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
A83369
CA
390200000X
Student in an Organized Health Care Education/Training Program
4301088189
MI
Other
Enumeration date
04/19/2007
Last updated
02/29/2012
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