Provider Demographics
NPI:1598706186
Name:COOK, DEBORAH R (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:R
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 S EMERSON ST
Mailing Address - Street 2:201
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2261
Mailing Address - Country:US
Mailing Address - Phone:303-860-9100
Mailing Address - Fax:303-860-8735
Practice Address - Street 1:1825 MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1122
Practice Address - Country:US
Practice Address - Phone:303-318-3434
Practice Address - Fax:303-318-3400
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42510207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOA106650OtherMEDICARE WITH EGSMC
CO37858815Medicaid
CO37858815Medicaid
COCO300782Medicare PIN