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Individual

WILLIAM H COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 CHICO CT, MONTE VISTA, CO 81144-1065
(719) 852-9400
(719) 852-9311
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 587-1417
(719) 587-6324

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01034275
IN
2084N0400X
Neurology Physician
Primary
25191
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100334010
IN
Enumeration date
08/27/2006
Last updated
05/05/2021
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