Organization
COOPER CLINIC, PA
Active
Organization
COOPER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS RALSTON (CEO)
(479) 274-2001
Entity
Organization
Contact information
Practice address
6801 ROGERS AVE, FORT SMITH, AR 72903-4067
(479) 274-2000
Mailing address
7301 ROGERS AVE, FORT SMITH, AR 72903-4100
(479) 274-2000
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
E3603
AR
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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