Individual
DR. BRIAN EZAR COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF RT N7 AND N12, FORT DEFIANCE, AZ 86504-0649
(928) 729-8600
(928) 729-8624
Mailing address
CORNER OF RT N7 AND N12, P.O. BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8600
(928) 729-8624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
053582
GA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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