Individual
ERIC JOSEPH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1633 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1261
(317) 962-3400
(317) 963-5446
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010014A
IN
Other
Enumeration date
05/01/2020
Last updated
06/17/2020
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