Individual
CIRRELDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-3400
Mailing address
PO BOX 631856, BALTIMORE, MD 21263-1856
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
17904
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300111730
MEDICARE RAILROAD
DC
Enumeration date
07/19/2005
Last updated
05/21/2009
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