Individual
JILL E. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2525 S DOWNING ST, PORTER ADVENTIST HOSPITAL, EMERGENCY DEPT., DENVER, CO 80210-5817
(303) 778-1955
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2504
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12553310
—
CO
Enumeration date
09/29/2007
Last updated
04/23/2009
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