Provider Demographics
NPI:1700820115
Name:COOK, FRANCIS W (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:W
Last Name:COOK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 547
Mailing Address - Street 2:CENTRAL VERMONT MEDICAL CENTER - FINANCE DEPT
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0547
Mailing Address - Country:US
Mailing Address - Phone:802-496-3838
Mailing Address - Fax:802-496-5586
Practice Address - Street 1:859 OLD COUNTY RD
Practice Address - Street 2:
Practice Address - City:WAITSFIELD
Practice Address - State:VT
Practice Address - Zip Code:05673-6093
Practice Address - Country:US
Practice Address - Phone:802-496-3838
Practice Address - Fax:802-496-5586
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0006636207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0005304Medicaid
VT0005304Medicaid
VTVT530401Medicare PIN