Individual
SHAUNA MAE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT(R)
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
32 CIRCLE DR, SOUTH SHORE, KY 41175-7849
(606) 923-4954
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R8882066
OH
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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