Individual
DR. SHANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Mailing address
1301 PENNSYLVANIA AVE STE 213, DES MOINES, IA 50316-2365
(515) 224-1414
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
44405
IA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
44405
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831483536
—
IA
Enumeration date
05/31/2011
Last updated
12/29/2022
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