Derrick D Kooker, P.A.
NPI #1851373526 in Colorado Springs, Colorado
Provider Information
- NPI Number
- 1851373526
- Entity Type
- Individual
- Name
- Derrick D Kooker, P.A.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.
- Enumeration Date
- Nov 17, 2005
- Last Updated
- Aug 16, 2011
Practice Location
- Address
- 2222 N NEVADA AVE
- Address 2
- SUITE
- City
- Colorado Springs
- State
- Colorado
- ZIP Code
- 80907-6819
- Phone
- (719) 776-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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