Cooper Clinic, PA

NPI #1235151960 in Greenwood, Arkansas

Provider Information

NPI Number: 1235151960
Entity Type: Organization
Organization Name: Cooper Clinic, PA
Primary Specialty: Family Medicine
Enumeration Date: Jul 24, 2006
Last Updated: Sep 1, 2015

Practice Location

Address: 20 N ASTER ST
City: Greenwood
State: Arkansas
ZIP Code: 72936-3145
Phone: (479) 996-4111

Authorized Official

Name: CURTIS D RALSTON
Title: CEO
Phone: (479) 274-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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