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DR. STEPHEN B COOPER D.C.

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1699719732

Individual Registrant:
DR. STEPHEN B COOPER D.C.
Gender: M
Sole Proprietor

Location and contact information for practice:
3700 S RAILROAD ST SUITE B PHENIX CITY, AL 36867-2993 US
Tel: 334-298-7700  Fax: 866-537-1711

Contact information for business:
PO BOX 1611  PHENIX CITY, AL 36868-1611 US
Tel: 334-298-7700  Fax: 866-537-1711

Registration Information:
NPI: 1699719732
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
AL1542
N111N00000XChiropractic Providers
Chiropractor
GACHIR004974

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
114539AL05




HEALTH CARE JOBS AL - Page 1



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