Individual
PAUL DANNER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1541 KINGS HWY, ATTN: PAYOR CREDENTIALING, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.023609
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1486621
—
LA
Enumeration date
07/21/2006
Last updated
11/13/2024
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