Individual
DR. JOHN D COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 REDTAIL HAWK RD, ESTES PARK, CO 80517-5422
(970) 586-9230
(970) 586-0292
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
15554
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01155548
—
CO
Enumeration date
12/20/2005
Last updated
07/08/2007
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