Organization
ROBERT F. COOPER III MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT F COOPER III M.D. (MEDICAL DOCTOR)
(662) 234-1121
Entity
Organization
Contact information
Practice address
2200 S LAMAR BLVD, SUITE B, OXFORD, MS 38655-5200
(662) 234-1121
(662) 236-2261
Mailing address
2200 S LAMAR BLVD, SUITE B, OXFORD, MS 38655-5200
(662) 234-1121
(662) 236-2261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07642
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06830829
—
MS
Enumeration date
04/10/2008
Last updated
04/10/2008
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