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WILLIAM H COOPER MD
Neurology >> Psychiatry & Neurology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1629186010
Individual Registrant: WILLIAM H COOPER MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
103 CHICO CT MONTE VISTA, CO 81144-1065 US
Tel: 719-852-9400 Fax: 719-852-9311
Tel: 719-852-9400 Fax: 719-852-9311
Contact information for business:
106 BLANCA AVE ALAMOSA, CO 81101-2340 US
Tel: 719-587-1417 Fax: 719-587-6324
Tel: 719-587-1417 Fax: 719-587-6324
Registration Information:
NPI: 1629186010
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology | IN | 01034275 |
| Y | 2084N0400X | Allopathic & Osteopathic Physicians Psychiatry & Neurology | CO | 25191 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100334010 | IN | 05 |
