Individual
WESLEY D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
400 S NEVADA AVE, MONTROSE, CO 81401-5738
(970) 249-3914
(970) 249-7893
Mailing address
400 S NEVADA AVE, MONTROSE, CO 81401-5738
(970) 249-3914
(970) 249-7893
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08765232
—
CO
01
—
1841290319
NPI
—
Enumeration date
07/27/2005
Last updated
09/12/2013
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