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NPI Code Detail

MEDICARE: SUZANNE M COOK MD

MEDICARE: SUZANNE M 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician22487AZ

General Provider Information

NPI Number : 1952381378
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE M COOK MD
Provider Business Mailing Address
First Line : PO BOX 42210
Second Line :
City : PHOENIX
State : AZ
Zip : 85080-2210
Country : US
Telephone Number : 623-889-7403
Fax Number : 623-889-7407
Provider Business Practice Location Address
First Line : 1255 W WASHINGTON ST
Second Line :
City : TEMPE
State : AZ
Zip : 85281-1210
Country : US
Telephone Number : 602-685-5211
Fax Number : 602-685-5028
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2006
Last Update Date : 08/15/2013

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