Individual
DR. AMY BOWDEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1511
(334) 280-1600
Mailing address
PO BOX 241587, MONTGOMERY, AL 36124-1587
(334) 280-1511
(334) 280-1600
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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