MR. Connie Dale Cook II, PAC
NPI #1164426128 in Man, West Virginia
Provider Information
- NPI Number
- 1164426128
- Entity Type
- Individual
- Name
- MR. Connie Dale Cook II, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Jun 8, 2005
- Last Updated
- Feb 11, 2010
Practice Location
- Address
- 600 E MCDONALD AVE
- City
- Man
- State
- West Virginia
- ZIP Code
- 25635-1097
- Phone
- (304) 583-6541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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