Doctor Name: | ORRIN D. COOK |
NPI Number: | 1548322415 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G35763 |
Business Practice Address: | Uscg Hq Comdt (cg1122) 2100 Second St, Sw Washington, DC - 205930001 |
Business Phone Number: | 2024755181 |
Business Fax Number: | 2024755909 |
Mailing Address: | 21 Brown Dr, NOVATO |
State: | CA |
Postal Code: | 949474420 |
Phone Number: | 4158991284 |
Fax Number: | |
NPI Enumeration Date: | 12/15/2006 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G35763 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |