Individual
JOSEPH DAVID COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 E 8TH ST STE 150, MARIETTA, OH 45750-3383
(740) 376-5590
(740) 376-5591
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
15249
WV
207W00000X
Ophthalmology Physician
Primary
35.055064
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095523000
—
WV
05
—
0848337
—
OH
Enumeration date
09/30/2005
Last updated
07/14/2020
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