Individual
RICHARD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6352 N BARCELONA LN, BLG. 1 #105, TUCSON, AZ 85704-5422
(520) 721-1887
Mailing address
994 S HARRISON RD, TUCSON, AZ 85748-6608
(520) 721-1887
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1491232
AZ
Other
Enumeration date
03/13/2009
Last updated
03/13/2009
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