Individual
MR. JOEL R COOPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2617 S 600 W, MARION, IN 46953-9381
(765) 603-6971
Mailing address
2617 S 600 W, MARION, IN 46953-9381
(765) 603-6971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
8909098374
IN
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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