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NPI Code Detail

MEDICARE: KYLE ERIC COOK MD

MEDICARE: KYLE ERIC 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730041799
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE ERIC COOK MD
Provider Business Mailing Address
First Line : 1501 N CAMPBELL AVE
Second Line :
City : TUCSON
State : AZ
Zip : 85724-0001
Country : US
Telephone Number : 602-703-5322
Fax Number : 602-703-5322
Provider Business Practice Location Address
First Line : 1320 W TOWNLEY AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85021-4423
Country : US
Telephone Number : 602-703-5322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2025
Last Update Date : 02/06/2026

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Directions to “ KYLE ERIC COOK MD” Practice Location

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