Individual
SHANE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1934 11TH AVE, HUNTINGTON, WV 25701-3722
(304) 529-0900
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-8722
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28697
WV
Other
Enumeration date
03/27/2015
Last updated
09/12/2022
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