Organization
MATTHEW COOPER MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW MARC COOPER M.D. (PHYSICIAN)
(702) 948-8080
Entity
Organization
Contact information
Practice address
7375 PEAK DR STE 110, LAS VEGAS, NV 89128-9030
(702) 948-8080
Mailing address
7375 PEAK DR STE 110, LAS VEGAS, NV 89128-9030
(702) 948-8080
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184849259
NPI GROUP
NV
Enumeration date
04/16/2007
Last updated
11/12/2007
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