Organization
ROBERT G COOPER JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GRAHAM COOPER MD (PHYSICIAN)
(812) 524-0505
Entity
Organization
Contact information
Practice address
505 S POPLAR ST, SEYMOUR, IN 47274-2960
(812) 524-0505
Mailing address
505 S POPLAR ST, SEYMOUR, IN 47274-2960
(812) 524-0505
(812) 524-0515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01060634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200525780
—
IN
Enumeration date
02/27/2008
Last updated
01/22/2020
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