Individual
DR. CHARLES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP CRNA
Contact information
Practice address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 263-4600
Mailing address
85 E US HIGHWAY 6, VALPARAISO, IN 46383-8947
(219) 263-4600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28191129A
IN
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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