THOMAS COOK
Physician Assistant
Active
Individual
NPI: 1477178432
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | PA-2180 (ID) |
Frequently Asked Questions
NPI 1477178432 is the National Provider Identifier for THOMAS COOK, a Physician Assistant provider located in Blackfoot, ID. This NPI was enumerated on June 15, 2020.
THOMAS COOK practices at 1444 PARKWAY DRIVE, Blackfoot, ID 83221.
Quick Facts
- NPI
- 1477178432
- Type
- Individual
- Enumerated
- Jun 15, 2020
- Last Updated
- May 18, 2022
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