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Stephanie Cook, MT
NPI 1790939742 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2100 S 2nd Ave Apt 5c
Pocatello, ID 83201 - Phone
- (208) 604-3185
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 247200000X
247200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho