MS. Deidre Monique Cooperwood, PA-C

NPI #1083017362 in Dover Afb, Delaware

Provider Information

NPI Number: 1083017362
Entity Type: Individual
Name: MS. Deidre Monique Cooperwood, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 1, 2014
Last Updated: Jul 25, 2022

Practice Location

Address: 300 TUSKEGEE BLVD
City: Dover Afb
State: Delaware
ZIP Code: 19902-5003
Phone: (302) 677-2600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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