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Individual

OLIVER BURTON COOPERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2155 W STATE ROUTE 89A, SUITE 203, SEDONA, AZ 86336-5468
(928) 282-1233
(928) 282-2560
Mailing address
2155 W STATE ROUTE 89A, SUITE 203, SEDONA, AZ 86336-5468
(928) 282-2560

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
36869
AZ
2084P0800X
Psychiatry Physician
4157A
WY
2084P0800X
Psychiatry Physician
7457
MT
2084P0800X
Psychiatry Physician
G22895
CA
2084P0802X
Addiction Psychiatry Physician
Primary
36869
AZ
2084P0802X
Addiction Psychiatry Physician
4157A
WY
2084P0802X
Addiction Psychiatry Physician
7457
MT
2084P0802X
Addiction Psychiatry Physician
G22895
CA
2084P0802X
Addiction Psychiatry Physician
M11089
ID
2084P0804X
Child & Adolescent Psychiatry Physician
36869
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
4157A
WY
2084P0804X
Child & Adolescent Psychiatry Physician
7457
MT
2084P0804X
Child & Adolescent Psychiatry Physician
G22895
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086445
MT
05
211925
AZ
Enumeration date
01/04/2007
Last updated
08/11/2016
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