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DR. WILLIAM L COOPER M.D.

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1477618403

Individual Registrant:
DR. WILLIAM L COOPER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
416 FRONTAGE RD SUITE 200 KENAI, AK 99611-7770 US
Tel: 907-335-2100  Fax: 907-335-2160

Contact information for business:
416 FRONTAGE RD SUITE 200 KENAI, AK 99611-7770 US
Tel: 907-335-2100  Fax: 907-335-2160

Registration Information:
NPI: 1477618403
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
AKMD 2004

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MD2004AK05
DEABC7103257AK01




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