Organization
COOPER CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS RALSTON (CEO)
(479) 274-2000
Entity
Organization
Contact information
Practice address
1500 DODSON AVE STE 285, FORT SMITH, AR 72901-5182
(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
207X00000X
Orthopaedic Surgery Physician
Primary
MC0254
AR
Other
Enumeration date
10/14/2011
Last updated
09/01/2015
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