Individual
DR. AMY BOWDEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
32423
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I065353
MEDICARE PTAN
AL
05
—
149815
—
AK
Enumeration date
10/31/2007
Last updated
01/22/2020
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