Individual
MR. PHILLIP ANDREW COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
300 WERNER STREET, HOT SPRINGS, AR 71913-6921
(501) 622-1875
(501) 622-1925
Mailing address
3810 CENTRAL AVENUE, SUITE H, HOT SPRINGS, AR 71913-6921
(501) 525-5840
(501) 525-1762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RNLICENSE#R79207
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA#C02873
AR
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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