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DR. HEATHER IRENE COOK D.O.

>> Surgery >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1255547691

Individual Registrant:
DR. HEATHER IRENE COOK D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
23450 US HIGHWAY 160  WALSENBURG, CO 81089-8100 US
Tel: 719-738-4588  Fax: --

Contact information for business:
23500 US HIGHWAY 160  WALSENBURG, CO 81089-9524 US
Tel: 719-738-5100  Fax: --

Registration Information:
NPI: 1255547691
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208600000XAllopathic & Osteopathic Physicians
Surgery
CODR.0050479

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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