Individual
DR. ROY EDWARD COOPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3633
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3633
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C-8114
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129515001
—
AR
Enumeration date
11/13/2006
Last updated
10/11/2018
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