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Individual
MARK C COOPER
Active
Individual
MARK C COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
5943
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10269
NDBS #
ND
01
—
142005
UCARE#
ND
05
—
16443
—
ND
01
—
2400032
MEDICA #
ND
01
—
2400078
MEDICA #
ND
05
—
276202100
—
ND
01
—
28131CO
MNBS #
ND
01
—
2F531CO
MNBS #
MN
01
—
34Q70CO
MNBS #
ND
01
—
4F531CO
MNBS #
MN
01
—
676557
AMERICA'S PPO/ARAZ #
ND
01
—
DA9011015524
PREFERRED ONE #
ND
01
—
HP25729
HEALTHPARTNERS #
ND
01
—
ND200010
LHS #
ND
Enumeration date
07/13/2006
Last updated
03/07/2023
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