Individual
MR. JUSTIN WAYNE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
551 VETERANS UNITED DR, COLUMBIA, MO 65201-8397
(573) 884-7733
(573) 882-6228
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2012001746
MO
Other
Enumeration date
07/08/2010
Last updated
08/15/2024
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