Individual
ALEX D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Mailing address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 329-1760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
47636
MN
2084N0400X
Neurology Physician
Primary
MD60071796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
849495900
—
MN
01
—
P00648925
RAILROAD MEDICARE
MN
Enumeration date
02/03/2006
Last updated
05/16/2012
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