Individual
STEPHANIE M COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
1160 1ST ST NE APT 602, WASHINGTON, DC 20002-4799
(954) 691-7672
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008274
VA
363A00000X
Physician Assistant
PA031606
DC
Other
Enumeration date
06/29/2019
Last updated
03/22/2022
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