| NPI | 1881399426 |
|---|---|
| Doing Business As | COOK CHILDREN'S PHYSICIAN NETWORK - WEST |
| Entity Type | Organization |
| Authorized Contact | MATTHEW V DZURIK President 682-885-6122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |