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Contact Information

JODI P COOK, MD
1851 MESQUITE AVE STE 202
LAKE HAVASU CITY, AZ86403-5681
 Phone: 928-854-0094
 Fax: 928-680-8986
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JODI P COOK · (Female)

NPI Number 1023469376
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2016
Last updated 08/29/2019 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • AZ License # 58797
  • WV License # 28282
Hospital affiliation(s) Not Available
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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