Sam D Cooke OD

NPI 1780752022 - Optometrist - 152W00000X

NPI Details
NPI 1780752022
Gender Male
Enumeration Date 12/04/2006
Last Updated 06/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
2402 HARRISON ST
BATESVILLE AR, 72501-7421, US
Phone (870) 793-4681
Fax
Business Location
2402 HARRISON ST
BATESVILLE AR, 72501-7421, US
Phone (870) 793-4681
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Arkansas
License Number 2291
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According to our database, Sam D Cooke OD NPI is 1780752022, taxonomy code is 152W00000X and license number is 2291, license state is located at Arkansas. Sam D Cooke OD physically located at 2402 Harrison St, Batesville AR, 72501-7421. NPI Number Sam D Cooke OD has the Individual type.

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1780752022 NPI number is provided on an as is basis without warranty of any kind. 1780752022 is maintained by the National Plan & Provider Enumeration System. The contents of Sam D Cooke OD are for informational purposes only.