Individual
DR. TYLER BENJAMIN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
32 W MAIN ST, CHANUTE, KS 66720-1701
(231) 598-0413
Mailing address
32 W MAIN ST, CHANUTE, KS 66720-1701
(231) 598-0413
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1893
KS
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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