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NPI Code Detail

MEDICARE: CECIL A COOK DO

MEDICARE: CECIL A COOK DO
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
1207P00000XEmergency Medicine Physician104607MO
2207P00000XEmergency Medicine Physician523468KS

General Provider Information

NPI Number : 1942282710
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECIL A COOK DO
Provider Business Mailing Address
First Line : PO BOX 838
Second Line :
City : SHAWNEE MISSION
State : KS
Zip : 66201-0838
Country : US
Telephone Number : 913-469-4244
Fax Number : 913-469-1939
Provider Business Practice Location Address
First Line : 17065 S US HIGHWAY 71
Second Line : EMERGENCY DEPARTMENT
City : BELTON
State : MO
Zip : 64012-2165
Country : US
Telephone Number : 913-469-4244
Fax Number : 913-469-1939
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/05/2008

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Directions to “ CECIL A COOK DO” Practice Location

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