Individual
DR. RYAN JAMES COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
927 N STRATFORD RD, WINSTON SALEM, NC 27104-1023
(336) 287-2485
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2016-01121
NC
Other
Enumeration date
04/04/2011
Last updated
06/23/2016
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