Individual
MR. RANDAL PAUL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
802 S JACKSON AVE STE 225, TULSA, OK 74127-9049
(918) 582-7711
(918) 583-5831
Mailing address
2401 SOUTHWEST BOUELVARD, TULSA, OK 74107-2726
(918) 561-5701
(918) 561-1173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4930
WI
363AM0700X
Medical Physician Assistant
Primary
2042
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409710A
—
OK
Enumeration date
11/10/2011
Last updated
06/27/2023
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