Individual
DR. RANDAL LLOYD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2199
Mailing address
4951 S WHITE MOUNTAIN RD BLDG A, SHOW LOW, AZ 85901-7827
(928) 537-6700
(928) 532-2199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57799
AZ
207QA0000X
Adolescent Medicine (Family Medicine) Physician
RL14102
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12083
—
ND
05
—
551329
—
AZ
Enumeration date
07/11/2016
Last updated
04/12/2024
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