Individual
DR. ELIZABETH A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12655 WARWICK BLVD, SUITE A, NEWPORT NEWS, VA 23606-2501
(757) 595-9880
(757) 595-0362
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049233
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098265
BCBS
VA
01
—
541559097
CHAMUS
VA
05
—
6078494
—
VA
01
—
864178
MAMSI
VA
01
—
SENTARA
41146
VA
Enumeration date
06/22/2006
Last updated
03/26/2021
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