Stephanie Cook, MT

NPI #1790939742 in Pocatello, Idaho

Provider Information

NPI Number: 1790939742
Entity Type: Individual
Name: Stephanie Cook, MT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: MT
Enumeration Date: Nov 4, 2008
Last Updated: Nov 4, 2008

Practice Location

Address: 2100 S 2ND AVE APT 5C
City: Pocatello
State: Idaho
ZIP Code: 83201-6920
Phone: (208) 604-3185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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