Individual
DR. THOMAS M COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7980 N MAIN ST., DAYTON, OH 45415-2328
(937) 280-4988
(937) 280-4994
Mailing address
7980 N MAIN ST., DAYTON, OH 45415-2328
(937) 280-4988
(937) 280-4994
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
34-00-7054C
OH
207X00000X
Orthopaedic Surgery Physician
34-007054C
OH
207X00000X
Orthopaedic Surgery Physician
34007054C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2223105
—
OH
01
—
P00057974
MEDICARE RR
OH
Enumeration date
11/10/2005
Last updated
06/19/2012
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