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NPI Code Detail

MEDICARE: MR. TIMOTHY G COOK A.U. D.

MEDICARE:  MR. TIMOTHY G COOK  A.U. D.
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
1231H00000XAudiologistAU330CA
2237700000XHearing Instrument SpecialistHA2106CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215075155
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. TIMOTHY G COOK A.U. D.
Provider Business Mailing Address
First Line : 1180 N INDIAN CANYON DR STE E324
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4868
Country : US
Telephone Number : 760-320-4136
Fax Number : 760-318-0205
Provider Business Practice Location Address
First Line : 1800 N INDIAN CYN DR STE E-324
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-2918
Country : US
Telephone Number : 310-829-2118
Fax Number : 310-829-2004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 10/02/2018

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Directions to “ MR. TIMOTHY G COOK A.U. D.” Practice Location

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