Individual
KOOPER HARRISON UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020-2402
(214) 551-3684
Mailing address
9250 N 3RD ST STE 1003, PHOENIX, AZ 85020-2402
(214) 551-3684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17869
TX
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/28/2020
Last updated
06/21/2024
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