Individual
PHILIP E. COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
601 3RD ST, RADFORD, VA 24141-1409
(540) 731-3842
(540) 731-9452
Mailing address
PO BOX 3362, RADFORD, VA 24143-3362
(540) 731-3842
(540) 731-9452
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104001581
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260392
ANTHEM
VA
01
—
47382
AMERICAN WHOLE HEALTH
VA
01
—
5514171
AETNA
VA
01
—
70285
SOUTHERN HEALTH
VA
05
—
9411551
—
VA
Enumeration date
03/20/2007
Last updated
07/08/2007
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