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Individual

DR. JAMES CLAUDE COOPER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
38 W. SUNBRIDGE, VA HOSPITAL, FAYETTEVILLE, AR 72703
(479) 684-2900
(479) 571-4015
Mailing address
3209 E. ZION RD., SPRINGDALE, AR 72764
(479) 872-6558
(479) 571-4015

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
E1164
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100134720A
OK
05
131237003
AR
01
175440000
QUALCHOICE
AR
05
244813101
MO
01
293392
UNITED HEALTHCARE
AR
01
4054557
AETNA
AR
01
B033
CHAMPUS
AR
01
E1164
STATE LICENSE
AR
Enumeration date
04/17/2006
Last updated
03/07/2023
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