Provider Demographics
NPI:1831554955
Name:COOK, SARA L (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:L
Last Name:COOK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:710 N BEAVER STREET
Mailing Address - Street 2:BUILDING 6
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-3148
Mailing Address - Country:US
Mailing Address - Phone:928-527-4325
Mailing Address - Fax:928-527-4327
Practice Address - Street 1:710 N BEAVER ST
Practice Address - Street 2:BUILDING 6
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-3100
Practice Address - Country:US
Practice Address - Phone:928-527-4325
Practice Address - Fax:928-527-4327
Is Sole Proprietor?:No
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
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Provider Licenses
StateLicense IDTaxonomies
AZ50592207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine