Individual
DOUGLAS M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 MAHALANI ST., WAILUKU, HI 96793
(808) 984-2150
(808) 984-2155
Mailing address
275 ULUMALU RD., HAIKU, HI 96708
(808) 258-1965
(808) 984-2155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-2108
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000123
ALOHA CARE PROVIDER#
HI
05
—
035529
—
HI
Enumeration date
01/05/2007
Last updated
07/09/2007
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