Organization
RED ROCK PODIATRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY R COOK D.P.M. (PHYSICIAN AND OWNER)
(970) 565-8336
Entity
Organization
Contact information
Practice address
1280 N MILDRED RD STE 1, CORTEZ, CO 81321-2212
(970) 565-8336
(970) 565-3134
Mailing address
1280 N MILDRED RD STE 1, CORTEZ, CO 81321-2212
(970) 565-8336
(970) 565-3134
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
540
CO
261QP1100X
Podiatric Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
540
CO
332BC3200X
Customized Equipment (DME)
540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023719
—
CO
05
—
529273291011
—
UT
Enumeration date
04/16/2008
Last updated
09/12/2011
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