Individual
DR. KERRY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2141 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3493
(480) 464-0189
(480) 464-0189
Mailing address
2141 E WARNER RD, SUITE 101, TEMPE, AZ 85284-3493
(480) 464-0189
(480) 464-0189
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
28488
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521783
—
AZ
Enumeration date
02/10/2006
Last updated
07/02/2009
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