Provider Demographics
NPI:1649543463
Name:MCCOOK, AARON WILLIAM (PA-C)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:WILLIAM
Last Name:MCCOOK
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2409 ARTESIA BLVD FL 2
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-3207
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 FALCON RIDGE PKWY STE 202
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-8851
Practice Address - Country:US
Practice Address - Phone:702-346-3875
Practice Address - Fax:702-346-3878
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVPA1317207N00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207N00000XAllopathic & Osteopathic PhysiciansDermatology