Roger A Cook
Anesthesiologist
777 Hospital Way
Pocatello
, Idaho 83201-5175
Roger A Cook
Anesthesiologist
777 Hospital Way
Pocatello
, Idaho 83201-5175
(208) 232-1950
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- Roger A Cook
- Po Box 4107
- Pocatello, ID
- Zip : 83205-4107
- Fax : (208) 232-1950
- Phone : (208) 233-8880
Second Address
- Roger A Cook
- 777 Hospital Way
- Pocatello, ID
- Zip : 83201-5175
- Phone : (208) 239-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 11302 | MT |
| Y | 207L00000X | Anesthesiologist | M11396 | ID |
National Provider Identifier
| NPI | 1003966227 |
|---|---|
| Provider Name | Roger A Cook |
| First Address | Pocatello, ID 83205-4107 |
| Second Address | Pocatello, ID 83201-5175 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2007 |
| Last Update Date | 25/02/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003966227 | (05) | ID |
| 11302 | MONTANA LICENSE NUMBER (01) | MT |
| M11396 | IDAHO MEDICAL LICENSE (01) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.