Individual
MR. JOHNNY W COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT,NCTMB
Contact information
Practice address
61 TOWN SQUARE, DANVILLE, WV 25053-0206
(304) 369-7009
(304) 369-7008
Mailing address
PO BOX 206, 61 TOWN SQUARE, DANVILLE, WV 25053-0206
(304) 369-7009
(304) 369-7008
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
1615
WV
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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