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Individual

JAMES MARK COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8001 FORBES PL, SUITE 103, SPRINGFIELD, VA 22151-2208
(703) 824-3200
Mailing address
PO BOX 79537, BALTIMORE, MD 21279-0537
(703) 824-3200

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101058206
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300088611
RAILROAD MEDICARE
01
300089778
RR MEDICARE, COMPUTED TOMOGRAPHY ASSOCIATES
DC
Enumeration date
09/27/2006
Last updated
05/17/2024
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