Wray Cook B.C.O.

NPI 1023175882 - Technician/Technologist - 156FX1700X

NPI Details
NPI 1023175882
Gender Male
Enumeration Date 01/02/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2821 N BALLAS RD
SUITE 215
SAINT LOUIS MO, 63131-2321, US
Phone (314) 567-7585
Fax (314) 567-7083
Business Location
2821 N BALLAS RD
SUITE 215
SAINT LOUIS MO, 63131-2321, US
Phone (314) 567-7585
Fax (314) 567-7083
Toxanomy
Taxonomy Code 156FX1700X
License State Missouri
License Number 86-198-10
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According to our database, Wray Cook B.C.O. NPI is 1023175882, taxonomy code is 156FX1700X and license number is 86-198-10, license state is located at Missouri. Wray Cook B.C.O. physically located at 2821 N Ballas Rd, Saint Louis MO, 63131-2321. NPI Number Wray Cook B.C.O. has the Individual type.

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1023175882 NPI number is provided on an as is basis without warranty of any kind. 1023175882 is maintained by the National Plan & Provider Enumeration System. The contents of Wray Cook B.C.O. are for informational purposes only.