Individual
RICHARD COLEMAN COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1818 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 450-0072
(540) 450-0074
Mailing address
125 MEDICAL CIR, WINCHESTER, VA 22601-3300
(540) 667-1828
(540) 722-3658
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101042491
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0088764000
MEDICAID
WV
01
—
386737
ANTHEM
VA
Enumeration date
01/23/2006
Last updated
07/08/2007
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