Individual
DR. COOPER BRIAN STACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
253 PLEASANT ST, CONCORD, NH 03301
(603) 229-5200
Mailing address
51 LYNDON ST, #1, CONCORD, NH 03301
(603) 228-9977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11398
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30201740
—
NH
Enumeration date
10/04/2006
Last updated
07/08/2007
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