Individual
COOPER JOHN BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E BROAD ST, RICHMOND, VA 23298-5025
(882) 390-4652
Mailing address
6908 TENNYSON TER, DERWOOD, MD 20855-1960
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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