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Contact Information

STACY M COOK, PA C
5950 UNIVERSITY AVE STE 151
WEST DES MOINES, IA50266
 Phone: 515-875-9192
 Fax: 515-875-9193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACY M COOK · (Female)

NPI # 1215011796
Status Active
Credentials PA C
Entity Individual
Enumeration date 10/24/2006
Last updated 12/29/2023 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 001667
Hospital affiliation(s)
  • IOWA METHODIST MEDICAL CENTER - (Acute Care)
    1200 PLEASANT STREET
    DES MOINES, IA 50309
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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