Healthcare Provider Details

I. General information

NPI: 1598706186
Provider Name (Legal Business Name): DEBORAH R COOK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 01/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 MARION ST
DENVER CO
80218-1122
US

IV. Provider business mailing address

148 S EMERSON ST 201
DENVER CO
80209-2261
US

V. Phone/Fax

Practice location:
  • Phone: 303-318-3434
  • Fax: 303-318-3400
Mailing address:
  • Phone: 303-860-9100
  • Fax: 303-860-8735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number42510
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: