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Individual

ARLIN RAY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5600 WYOMING BLVD NE, SUITE 240, ALBUQUERQUE, NM 87109-3149
(505) 235-1064
Mailing address
214 SPRING CREEK PL NE, ALBUQUERQUE, NM 87122-2016
(505) 235-1064

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
75129
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13466
NM
Enumeration date
11/22/2006
Last updated
07/08/2007
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