Individual
NATHAN J COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Mailing address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-7201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
12200A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12200A
WYOMING MEDICAL LICENSE
WY
Enumeration date
05/31/2016
Last updated
06/25/2020
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