Organization
COOPER CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS RALSTON (CEO)
(479) 274-2000
Entity
Organization
Contact information
Practice address
9616 ROGERS AVE, FORT SMITH, AR 72903-5769
(479) 274-2000
(479) 274-2194
Mailing address
PO BOX 3528, FORT SMITH, AR 72913-3528
(479) 274-2000
(479) 274-2194
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MC-0254
AR
Other
Enumeration date
07/24/2006
Last updated
10/20/2015
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