Organization
W THOMAS COOPER, MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W THOMAS COOPER MD (PRESIDENT)
(509) 547-9521
Entity
Organization
Contact information
Practice address
1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
(509) 547-9521
(509) 547-5983
Mailing address
1200 N 14TH AVE, SUITE 245, PASCO, WA 99301-4182
(509) 547-9521
(509) 547-5983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD00020136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1377100
—
WA
Enumeration date
12/19/2007
Last updated
01/08/2008
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