Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0101053824 | VA |
NPI | 1225076342 |
---|---|
Provider Name | Dr. Marci Krop Cook |
First Address | Reston, VA 20190-3215 |
Second Address | Reston, VA 20190-3215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BK1812658 | DEA # (01) | |
F69010 | (02) |