Organization
ALAN R COOPER DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN R COOPER DPM (OWNER)
(937) 279-0363
Entity
Organization
Contact information
Practice address
4569A LANSMORE DR, DAYTON, OH 45415-3352
(937) 279-0363
(937) 276-2028
Mailing address
4569A LANSMORE DR, DAYTON, OH 45415-3352
(937) 279-0363
(937) 276-2028
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0380976
—
OH
Enumeration date
04/02/2008
Last updated
07/02/2009
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