Individual
SCOTT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1310 E DIMOND BLVD STE 1, ANCHORAGE, AK 99515-2031
(907) 344-2400
Mailing address
3200 E 15TH AVE, ANCHORAGE, AK 99508-3003
(907) 903-4798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
139964
AK
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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