# W THOMAS COOPER, MD PS

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

## Provider details

- **NPI number:** 1255515862
- **Authorized official:** DR. W THOMAS COOPER MD (PRESIDENT)
- **Authorized official phone:** (509) 547-9521

## Contact information

- **Practice address:** 1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
- **Practice address phone:** (509) 547-9521
- **Practice address fax:** (509) 547-5983
- **Mailing address:** 1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
- **Mailing address phone:** (509) 547-9521
- **Mailing address fax:** (509) 547-5983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | MD00020136 | WA | Yes |

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 01/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1377100 | — | WA |