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NPI Code Detail

MEDICARE: DR. ANDREW D COOK MD

MEDICARE: DR. ANDREW D COOK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianEC-05-047ME
2207Q00000XFamily Medicine Physician0101250360VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C06734OTHERVAGROUP PTAN

General Provider Information

NPI Number : 1114095072
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW D COOK MD
Provider Business Mailing Address
First Line : 1600 WESTBROOK AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3337
Country : US
Telephone Number : 804-264-6231
Fax Number : 804-264-6059
Provider Business Practice Location Address
First Line : 1600 WESTBROOK AVE
Second Line :
City : RICHMOND
State : VA
Zip : 23227-3337
Country : US
Telephone Number : 804-264-6231
Fax Number : 804-264-6059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 05/26/2021

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