| Marshall Lewis Cook, MD | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8000 | |
| Not Available |
| Full Name | Marshall Lewis Cook |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205813318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | AZ19360 (Arizona) | Secondary |
| 207X00000X | Orthopaedic Surgery | 19360 (Arizona) | Primary |
| Entity Name | Dhhs,phs,naihs Gallup Indian Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840 |
| Entity Name | Big Bend Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811973282 PECOS PAC ID: 2163326281 Enrollment ID: O20031120000933 |
| Entity Name | Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689630865 PECOS PAC ID: 3072403096 Enrollment ID: O20040316000136 |
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Lewis Cook, MD Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 | Marshall Lewis Cook, MD Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8000 |
John R Thompson, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Brian Bells Carino, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 |