Individual
DR. PAUL A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3150 N 12TH ST, GRAND JUNCTION, CO 81506-2863
(970) 255-1576
(970) 254-2398
Mailing address
PO BOX 10700, GRAND JUNCTION, CO 81502-5517
(970) 255-1576
(970) 254-2398
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30501
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305010
—
CO
Enumeration date
10/23/2006
Last updated
12/30/2016
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