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Individual

RYAN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6000 W HIGHWAY 98, PENSACOLA, FL 32512-0001
(850) 505-7122
Mailing address
5002 ALTA VISTA RD, BETHESDA, MD 20814-5705
(208) 409-1282

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101258858
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101258858
VA
207RP1001X
Pulmonary Disease Physician
0101258858
VA

Other

Enumeration date
06/05/2014
Last updated
11/19/2025
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