Individual
ANGIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-7400
(402) 955-7405
Mailing address
4309 N 139TH AVE, OMAHA, NE 68164-5027
(402) 253-5534
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
01/24/2024
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