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Individual

CIRCE COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465
Mailing address
700 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2706
(540) 961-8300
(540) 961-8465

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
H67146
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871569327
VA
Enumeration date
02/24/2006
Last updated
04/22/2008
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