# R. EDWARD COOPER JR., M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013209956
- **Authorized official:** DR. ROY EDWARD COOPER JR. M.D. (OWNER)
- **Authorized official phone:** (870) 972-8521

## Contact information

- **Practice address:** 1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
- **Practice address phone:** (870) 972-8521
- **Practice address fax:** (870) 972-8042
- **Mailing address:** 1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
- **Mailing address phone:** (870) 972-8521
- **Mailing address fax:** (870) 972-8042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | C8114 | AR | Yes |
| 363A00000X | Physician Assistant | PA- 439 | AR | — |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 05/11/2011