Individual
DOUGLAS G COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2355 N WYATT DR, SUITE 101, TUCSON, AZ 85712-2120
(520) 616-4948
(520) 616-4958
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 682-4111
(520) 818-3630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP4567
AZ
363LF0000X
Family Nurse Practitioner
TAP4567
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724660
—
AZ
Enumeration date
07/23/2012
Last updated
07/20/2015
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