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Individual

ELIZABETH DENISE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121
Mailing address
200 VETERANS AVE, BECKLEY, WV 25801-6444
(304) 255-2121

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01530
WV
363A00000X
Physician Assistant
Primary
528
WV

Other

Enumeration date
01/12/2011
Last updated
10/26/2023
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