Individual
CRYSTAL M. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
821 ROBERT C BYRD DR., SOPHIA, WV 25921
(304) 469-2905
(304) 683-6903
Mailing address
497 MALL RD, OAK HILL, WV 25901-6216
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
466
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810014077
—
WV
Enumeration date
10/30/2008
Last updated
01/27/2026
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