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Individual

ROBERT L COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
316 MARTIN LUTHER KING JR, #212, TACOMA, WA 98405
(253) 383-5777
(253) 627-0855
Mailing address
316 MARTIN LUTHER KING JR, #212, TACOMA, WA 98405
(253) 383-5777
(253) 627-0855

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD00038809
WA
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
MD00038809
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8436057
WA
Enumeration date
09/14/2006
Last updated
12/09/2011
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