Individual
DR. JERALD LEE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1145 STURGIS RD, NAVAL HOSPITAL TWENTYNINE PALMS, TWENTYNINE PALMS, CA 92278
(760) 830-2002
Mailing address
11384 COPPERLEAF LN, SAN DIEGO, CA 92124-2803
(858) 382-6200
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
A110724
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A110724
CA
2083X0100X
Occupational Medicine Physician
Primary
A110724
CA
Other
Enumeration date
06/12/2008
Last updated
09/19/2014
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