Individual
MR. MICHAEL SCOT COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
6973 ZUCKERT AVENUE, 176TH MEDICAL GROUP, ELMENDORF/ANCHORAGE, AK 99506
(907) 551-0435
(907) 551-0431
Mailing address
6973 ZUCKERT AVENUE, 176TH MEDICAL GROUP, JBER, AK 99506
(907) 551-0435
(907) 551-0431
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
627
AK
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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