Organization
R. EDWARD COOPER JR., M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY EDWARD COOPER JR. M.D. (OWNER)
(870) 972-8521
Entity
Organization
Contact information
Practice address
1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
(870) 972-8521
(870) 972-8042
Mailing address
1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
(870) 972-8521
(870) 972-8042
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C8114
AR
363A00000X
Physician Assistant
PA- 439
AR
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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