Individual
DR. CHAD JOSEPH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1441 WILKINS CIR, CASPER, WY 82601-1337
(307) 233-2700
Mailing address
1441 WILKINS CIR, CASPER, WY 82601-1337
(307) 233-2700
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12103A
WY
207RG0100X
Gastroenterology Physician
48391
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152927700
—
WY
Enumeration date
05/17/2011
Last updated
09/29/2021
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