Individual
DR. ROBERT IAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2704 BROADWAY N, SUITE C, FARGO, ND 58102-1487
(701) 237-9400
(701) 232-3135
Mailing address
2704 BROADWAY N, SUITE C, FARGO, ND 58102-1487
(701) 237-9400
(701) 232-3135
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
6519
ND
Other
Enumeration date
06/28/2007
Last updated
07/09/2007
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