Search › Idaho › 363A00000X
Thomas Cook
NPI 1477178432 · on the registry since 2020
Practice
- Address
- 1444 Parkway Drive
Blackfoot, ID 83221 - Phone
- (208) 785-2600
Additional practice sites
- 669 S 700 E Apt 18, St George, UT
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-18
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