Individual
JUSTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
333 N DOBSON RD STE 15, CHANDLER, AZ 85224-4412
(480) 282-8336
Mailing address
333 N DOBSON RD STE 15, CHANDLER, AZ 85224-4412
(480) 282-8336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
364SA2200X
Adult Health Clinical Nurse Specialist
7442
AZ
Other
Enumeration date
05/17/2019
Last updated
04/16/2021
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