Frederic Albert Cook IV, PA-C, RT(R)(VI)

NPI #1427422013 in Vail, Colorado

Provider Information

NPI Number
1427422013
Entity Type
Individual
Name
Frederic Albert Cook IV, PA-C, RT(R)(VI)
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C, RT(R)(VI)
Enumeration Date
Nov 19, 2015
Last Updated
Feb 16, 2016

Practice Location

Address
181 W MEADOW DR STE 400
City
Vail
ZIP Code
81657-5058
Phone
(970) 479-5869

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical
Physician Assistant

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