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Individual

JUSTIN O COOK

Active
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Individual

JUSTIN O COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A82700
CA
207P00000X
Emergency Medicine Physician
M00044892
WA
207P00000X
Emergency Medicine Physician
Primary
MD25848
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
213596
OR
05
8433120
WA
Enumeration date
07/20/2006
Last updated
06/10/2013
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