| Dr David E Cook, MD | |
|
3800 W 3500 S, West Valley City, UT 84120-3306 | |
| (217) 791-3670 | |
| (801) 572-1097 |
| Full Name | Dr David E Cook |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 3800 W 3500 S, West Valley City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538272133 | NPI | - | NPPES |
| 01083153A | Other | IN | INDIANA STATE MEDICAL BOARD |
| 10977432-1205 | Other | UT | UTAH STATE MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 10977432-1205 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 10977432-1205 (Utah) | Primary |
| Entity Name | Knox Winamac Community Health Centers Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629248919 PECOS PAC ID: 9537229802 Enrollment ID: O20100113000557 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David E Cook, MD 2776 W 10755 S, South Jordan, UT 84095-8645 Ph: (217) 791-3670 | Dr David E Cook, MD 3800 W 3500 S, West Valley City, UT 84120-3306 Ph: (217) 791-3670 |
Dr. Casey Joseph Henich, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 | |
Ray Morris Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3465 So 4155 W Suite #2, West Valley City, UT 84120 Phone: 801-963-7636 Fax: 801-963-8130 | |
Jennifer J Denbleyker, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3725 W 4100 S, West Valley City, UT 84120 Phone: 801-965-3600 Fax: 801-965-3526 | |
Erin Bathurst Helms, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5373 W Lake Park Blvd, West Valley City, UT 84120 Phone: 801-902-8080 | |
Dr. Charles Wesley Miller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4052 West Pioneer Parkway, Suite 109, West Valley City, UT 84120 Phone: 801-912-8230 Fax: 801-840-2208 | |
Dr. Lori E Witter, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3730 W 4700 S, West Valley City, UT 84118 Phone: 801-213-9200 | |
Curtis Gapinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2965 W 3500 S, West Valley City, UT 84119 Phone: 801-965-3600 |