Cooper Clinic PA

NPI #1366655623 in Charleston, Arkansas

Provider Information

NPI Number: 1366655623
Entity Type: Organization
Organization Name: Cooper Clinic PA
Primary Specialty: Family Medicine
Enumeration Date: May 7, 2007
Last Updated: Oct 20, 2015

Practice Location

Address: 1801 E MAIN ST
City: Charleston
State: Arkansas
ZIP Code: 72933-9254
Phone: (479) 274-2000

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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