Cook, Darryl Bruce
Cook, Darryl Bruce is an individual health care provider with primary practice located at 1151 Hospital Way Bldg A , Pocatello ID 83201-2763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Cook, Darryl Bruce can be contacted via phone (208) 232-6616.Contact Information
Primary practice address
1151 Hospital Way Bldg A
Pocatello ID 83201-2763
Phone: (208) 232-6616
Fax: (208) 232-6618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | M4758 | Idaho |
Profile Details
| NPI number | 1972525111 |
|---|---|
| LBN Legal business name | Cook, Darryl Bruce |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972525111 | NPPES |
| Idaho | MEDICAID | 002802900 |
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