| Dr David E Cook, MD | |
|
10462 S Redwood Rd, South Jordan, UT 84095-8501 | |
| (801) 606-4307 | |
| (801) 606-4315 |
| Full Name | Dr David E Cook |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 10462 S Redwood Rd, South Jordan, 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 10462 S Redwood Rd, South Jordan, UT 84095-8501 Ph: (801) 606-4307 |
Lisa Marie Hanson, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009 Phone: 801-661-6052 | |
Dr. Charles Olin Canfield, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10437 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-877-0705 Fax: 801-335-5957 | |
Ryan C Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11444 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-5900 | |
Dr. Joseph Barney Stanford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 | |
Dr. David Gareth Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 Fax: 801-585-3655 | |
Michelle L Palmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 W South Jordan Pkwy, Suite 102, South Jordan, UT 84095 Phone: 801-508-3111 Fax: 801-508-3105 | |
Annliza Lachica Piacitelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S, Ste 100, South Jordan, UT 84095 Phone: 801-433-2873 |