Individual
DR. MAUREEN A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8153
(719) 589-8162
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
DR49357
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558897
ANTHEM
—
05
—
35057025
—
CO
Enumeration date
03/16/2006
Last updated
05/04/2021
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