MEDICARE: DR. TUESDAY F. A. 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
1	208600000X	Surgery Physician	34908	WV
2	208600000X	Surgery Physician	MD434084	PA

General Provider Information

NPI Number	:	1396902227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TUESDAY F. A. COOK MD

Provider Business Mailing Address
First Line	:	PO BOX 795
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26507-0795
Country	:	US
Telephone Number	:	304-473-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 AMALIA DR STE C6
Second Line	:
City	:	BUCKHANNON
State	:	WV
Zip	:	26201-2270
Country	:	US
Telephone Number	:	304-473-2303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	06/09/2026

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