Individual
MATTHEW COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC, FORT RUCKER, FORT RUCKER, AL 36362-5333
(334) 255-7040
Mailing address
301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC, FORT RUCKER, FORT RUCKER, AL 36362-5333
(334) 255-7040
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS 14137
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2015
Last updated
09/01/2016
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