Doctor Name: | DR. STEVEN MICHAEL COOK |
NPI Number: | 1295054997 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 21977 |
Business Practice Address: | 300 Elm St Sw Box 700 Mitchellville, IA - 501694719 |
Business Phone Number: | 5159674236 |
Business Fax Number: | 5159673429 |
Mailing Address: | 300 Elm St Sw, Box 700 MITCHELLVILLE |
State: | IA |
Postal Code: | 501694719 |
Phone Number: | 5159674236 |
Fax Number: | 5159673429 |
NPI Enumeration Date: | 05/20/2010 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 21977 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |