Individual
GENE S COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(970) 495-7421
(970) 203-7179
Mailing address
2500 ROCKY MOUNTAIN AVE STE 340, LOVELAND, CO 80538-9004
(970) 495-7421
(970) 203-7179
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2847
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53001869
—
CO
Enumeration date
08/04/2009
Last updated
04/29/2022
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