person
Mr. Connie Dale Cook II, PAC
Medical Physician Assistant in Man, West Virginia
NPI 1164426128

Connie Dale Cook II is a Medical Physician Assistant based in Pineville, WV and is specialized in Medical. Connie Dale Cook II practices in Man, WV and has the professional credentials of PAC. The NPI Number for Connie Dale Cook II is 1164426128 and holds a License No. 626 (West Virginia).

The current practice location address for Connie Dale Cook II is 600 E Mcdonald Ave, Man, WV and can be reached out via phone at 304-583-6541 and via fax at 304-583-6018. You can also correspond with Connie Dale Cook II through the mailing address at 1650 MAIN STREET, PINEVILLE, WV - 24874-1650 (mailing address contact number: 304-732-6735).

Location: 600 E Mcdonald Ave, Man, WV, 24874-1650
person
Provider Profile Details
NPI Number
1164426128
Provider Name
Connie Dale Cook II
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
600 E Mcdonald Ave, Man, WV, 24874-1650
Phone Number
304-583-6541
Fax Number
304-583-6018
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810000560 05 WV
institution
Provider Business Practice Location Address Details
Address
600 E Mcdonald Ave
City
Man
State
Zip
25635-1097
Phone Number
304-583-6541
Fax Number
304-583-6018
person
Provider Business Mailing Address Details
Address
600 E Mcdonald Ave
City
Man
State
Zip
25635-1097
Phone Number
304-583-6541
Fax Number
304-583-6018
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
626 (West Virginia)
Definition
Definition to come...
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