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Individual

ALAN S. COOPERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
14110 SPRING HOLLOW RD, FORT WAYNE, IN 46814-9767
(260) 672-3121
Mailing address
14110 SPRING HOLLOW RD, FORT WAYNE, IN 46814-9767
(260) 672-3121

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
02000572A
IN
2085R0202X
Diagnostic Radiology Physician
3070
AZ
2085R0202X
Diagnostic Radiology Physician
32745
MO
2085R0202X
Diagnostic Radiology Physician
34002606
OH
2085R0202X
Diagnostic Radiology Physician
43169
CO
2085R0202X
Diagnostic Radiology Physician
A-1313-05
NM

Other

Enumeration date
08/24/2006
Last updated
07/08/2007
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