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Individual

DR. TODD A COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
911 ANDERSON ST, BRISTOL, TN 37620-2105
(423) 764-2663
(423) 793-1100
Mailing address
396 TIM WARREN RD, BRISTOL, TN 37620-8212
(423) 878-3396

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC0000000755
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9403426
TN
Enumeration date
06/04/2006
Last updated
05/19/2015
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