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Organization
COOPER MEDICAL GROUP PC
Active
Organization
COOPER MEDICAL GROUP PC
Active
Other names
COOPER MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EUGENE COOPER D.O. (OWNER / PHYSICIAN)
(812) 476-4161
Entity
Organization
Contact information
Practice address
1401 S GREEN RIVER RD, EVANSVILLE, IN 47715-5657
(812) 476-4161
(812) 476-4178
Mailing address
1401 S GREEN RIVER RD, EVANSVILLE, IN 47715-5657
(812) 476-4161
(812) 476-4178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002249A
IN
Other
Enumeration date
11/18/2010
Last updated
12/14/2010
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