Individual
HECTOR WAYNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 GRESHAM DR STE 700, NORFOLK, VA 23507-1904
(757) 388-3000
(423) 826-1290
Mailing address
6275 E VIRGINIA BEACH BLVD STE 300, NORFOLK, VA 23502-2851
(757) 466-0089
(757) 466-8017
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101259879
VA
2085R0202X
Diagnostic Radiology Physician
200100665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128WA
BCBS
NC
05
—
89128WA
—
NC
Enumeration date
04/10/2006
Last updated
12/29/2023
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