Organization
JOHN M COOK M D INC
Active
Organization
JOHN M COOK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL COOK MD (PROPIETOR)
(918) 296-8060
Entity
Organization
Contact information
Practice address
13601 E 66TH ST N, OWASSO, OK 74055-7179
(918) 296-8060
(918) 516-0445
Mailing address
DEPT 2523, TULSA, OK 74182-0001
(918) 296-8060
(918) 516-0445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17687
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119520B
—
OK
Enumeration date
10/31/2007
Last updated
09/18/2014
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