| John M Cook M D Inc | |
|
13601 E 66th St N Owasso OK 74055-7179 | |
| (918) 296-8060 | |
| (918) 516-0445 |
| Full Name | John M Cook M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13601 E 66th St N, Owasso, Oklahoma |
| Authorized Official Name and Position | John Michael Cook (PROPIETOR) |
| Authorized Official Contact | 9182968060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Cook M D Inc Dept 2523 Tulsa OK 74182-0001 Ph: (918) 296-8060 | John M Cook M D Inc 13601 E 66th St N Owasso OK 74055-7179 Ph: (918) 296-8060 |
| NPI Number | 1851570493 |
|---|---|
| Provider Enumeration Date | 10/31/2007 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851570493 | NPI | - | NPPES |
| 100119520B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 17687 (Oklahoma) | Primary |
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