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Individual

DAVID W COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
30809 FIRST AVE. S., FEDERAL WAY, WA 98003
(253) 839-2030
(253) 839-1071
Mailing address
30809 1ST AVE S, FEDERAL WAY, WA 98003-4074
(253) 839-2030
(253) 839-1071

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30006874
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0197067
STATE L&I
WA
01
0232295
STATE L&I
WA
01
0232298
STATE L&I
WA
01
0235308
STATE L&I
WA
01
0235309
STATE L&I
WA
01
0235310
STATE L&I
WA
Enumeration date
08/11/2006
Last updated
07/01/2011
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