Individual
DANIEL EDWARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5133 N CENTRAL AVE STE 206, PHOENIX, AZ 85012-1438
(602) 264-0608
(602) 234-0417
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
49863
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009642
—
AZ
Enumeration date
05/16/2006
Last updated
03/18/2022
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