Doctor Name: | TIMOTHY COOK |
NPI Number: | 1043414386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RCIS |
License Number: | |
Business Practice Address: | 300 Highland Ave Hanover, PA - 173312297 |
Business Phone Number: | 7176373711 |
Business Fax Number: | |
Mailing Address: | Po Box 217, BYRDSTOWN |
State: | TN |
Postal Code: | 385490217 |
Phone Number: | 3015098094 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XC2901X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Cardiovascular Invasive Specialist |
Taxonomy Definition: |