Individual
MISS NAILAH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
59 E LEXINGTON AVE, PHOENIX, AZ 85012-2320
(480) 847-0900
(480) 508-7815
Mailing address
1755 N PEBBLE CREEK PKWY # 1058, GOODYEAR, AZ 85395-2532
(480) 847-0900
(480) 508-7815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54132
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146844
—
AZ
Enumeration date
05/20/2014
Last updated
05/03/2023
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