Individual
WARREN L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 2ND ST, MARIETTA, OH 45750-2115
(740) 374-3622
(740) 374-4209
Mailing address
216 PUTNAM ST, MARIETTA, OH 45750-3018
(740) 236-2166
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35.052253
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091619000
—
WV
05
—
0593406
—
OH
05
—
6200090
—
WV
Enumeration date
07/13/2005
Last updated
11/04/2021
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