Individual
RICHARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2425 13TH ST NW, CANTON, OH 44708-3116
(330) 455-5595
Mailing address
2425 13TH ST NW, CANTON, OH 44708-3116
(330) 455-5595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35057528C
OH
Other
Enumeration date
07/07/2005
Last updated
03/02/2010
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