Individual
MR. JOHN WILLIAM COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CST/CFA
Contact information
Practice address
10 HIGH ST, SUITE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Mailing address
10 HIGH ST, SUITE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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