Cooper Clinic, PA
NPI #1104832708 in Fort Smith, Arkansas
Provider Information
- NPI Number
- 1104832708
- Entity Type
- Organization
- Organization Name
- Cooper Clinic, PA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Sep 1, 2015
Practice Location
- Address
- 4600 TOWSON AVE
- Address 2
- STE 101-N
- City
- Fort Smith
- State
- Arkansas
- ZIP Code
- 72901-7961
- Phone
- (479) 274-6900
Authorized Official
- Name
- CURTIS D RALSTON
- Title
- CEO
- Phone
- (479) 274-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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