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NPI Code Detail

MEDICARE: KAREN ELIZABETH COOK AUD

MEDICARE:   KAREN ELIZABETH COOK  AUD
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
1231H00000XAudiologistDA4102AZ

General Provider Information

NPI Number : 1598965881
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ELIZABETH COOK AUD
Provider Business Mailing Address
First Line : 621 S PEPPERTREE DR
Second Line :
City : GILBERT
State : AZ
Zip : 85296-3208
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6124 E BROWN RD
Second Line : STE. 102
City : MESA
State : AZ
Zip : 85205-4959
Country : US
Telephone Number : 480-497-3285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2007
Last Update Date : 07/24/2007

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Directions to “ KAREN ELIZABETH COOK AUD” Practice Location

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