Individual
DR. JOSEPH DONALD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4352 VALLEY FORGE DR, FAIRVIEW PARK, OH 44126-2825
(440) 331-8215
Mailing address
4352 VALLEY FORGE DR, FAIRVIEW PARK, OH 44126-2825
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34006607C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2208846
—
OH
01
—
942460636300
CARESOURCE
OH
01
—
P00220791
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/09/2006
Last updated
01/11/2011
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