Individual
HEATHER ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
81 W GUADALUPE RD STE 111, GILBERT, AZ 85233-3321
(480) 366-4490
(480) 854-3618
Mailing address
81 W GUADALUPE RD,, STE 111, GILBERT, AZ 85233
(480) 366-4490
(480) 854-3618
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5460
AZ
Other
Enumeration date
09/03/2013
Last updated
09/14/2016
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