Individual
EDWARD B COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-1221
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 773-1221
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A704030
CA
207P00000X
Emergency Medicine Physician
ME78602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003852658
—
CA
Enumeration date
06/21/2006
Last updated
11/09/2018
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