Individual
DR. JOHN PAUL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 BY PASS RD, HEBER SPRINGS, AR 72543-9135
(501) 206-3102
Mailing address
2250 N ILLINOIS AVE, CARBONDALE, IL 62901-5612
(618) 833-1691
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-11652
AR
208D00000X
General Practice Physician
036.162871
IL
208D00000X
General Practice Physician
71890-20
WI
208D00000X
General Practice Physician
87237
GA
Other
Enumeration date
03/27/2017
Last updated
11/05/2024
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