Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry | |
Primary Podiatric Medicine |
213EP1101X | 48 | Podiatry |
| NPI # | 1205066834 |
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| LBN Legal business name | DEBORAH L. COOK, DPM, INC. | ||||||||
| Authorized official | DEBORAH COOK - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 07/16/2009 | ||||||||
| Last updated | 07/16/2009 - About 17 years ago | ||||||||
| Identifiers |
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