Organization
DM COOPER DPM AND ASSOC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIREESE MARY COOPER DPM (PODIATRIST)
(215) 844-5688
Entity
Organization
Contact information
Practice address
6400 CLEARVIEW ST, PHILADELPHIA, PA 19119-2040
(215) 844-5688
Mailing address
8603 GILBERT ST, PHILADELPHIA, PA 19150-2703
(215) 844-5688
(215) 248-1090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/30/2008
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