Organization
R. EDWARD COOPER JR MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON SMITH (OFFICE MANAGER)
(870) 972-8521
Entity
Organization
Contact information
Practice address
1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
(870) 972-8521
(870) 972-8042
Mailing address
1000 E MATTHEWS AVE, SUITE D, JONESBORO, AR 72401-4307
(870) 972-8521
(870) 972-8042
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C8114
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129515001
—
AR
Enumeration date
01/26/2010
Last updated
07/13/2011
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