Individual
JASON ALEXANDER COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E MARSHALL ST, INTERNAL MEDICINE, RICHMOND, VA 23298-5051
(804) 828-8786
(804) 828-5466
Mailing address
PO BOX 43, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
(612) 262-9035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101260495
VA
207RC0000X
Cardiovascular Disease Physician
Primary
71456
MN
Other
Enumeration date
06/05/2013
Last updated
10/05/2022
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