Individual
JOSHUA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 568-5600
Mailing address
425 40TH ST, NEW ORLEANS, LA 70124-1531
(504) 559-0088
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2662643
—
LA
Enumeration date
03/18/2024
Last updated
07/24/2024
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