NPI 1316989569 · live from the CMS NPI Registry
W Bryce Cook, DPM
Podiatrist in Logan, UT. National Provider Identifier 1316989569, active.
NPI record
| NPI | 1316989569 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 550 E 1400 N, Ste B, Logan, UT 84341 |
| Practice phone | 435-752-9011 |
| Enumerated | June 12, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 1032580501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.