Individual
JAY F. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 EDISON ST, BRUSH, CO 80723-1640
(970) 842-6256
Mailing address
5530 E 6TH AVENUE PKWY, DENVER, CO 80220-5244
(303) 333-7552
(303) 388-8304
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29566
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53704541
—
CO
Enumeration date
11/28/2005
Last updated
01/28/2010
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