Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CONNIE DALE COOK II, PAC
ActiveMR. CONNIE DALE COOK II, PAC is a Medical Physician Assistant healthcare provider located in MAN, West Virginia. NPI 1164426128 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MAN, WV
Registration Details
- NPI Number
- 1164426128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2005 (20.999994369505 yrs)
- Last Updated
- Feb 11, 2010
- License
-
626 (WV)
Practice Information
- Address
-
600 E MCDONALD AVEMAN, WV, 256351097Browse WV providers · Browse ZIP 25635
- Phone
- 3045836541
- Fax
- 3045836018
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.