Organization
COOPER MEDICAL GROUP PC
Active
Other names
COOPER MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH EUGENE COOPER D.O. (OWNER / PHYSICIAN)
(812) 476-4161
Entity
Organization
Contact information
Practice address
1401 S GREEN RIVER RD, EVANSVILLE, IN 47715-5657
(812) 476-4161
(812) 476-4178
Mailing address
1401 S GREEN RIVER RD, EVANSVILLE, IN 47715-5657
(812) 476-4161
(812) 476-4178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002249A
IN
Other
Enumeration date
11/18/2010
Last updated
12/14/2010
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