Cooper Urology, Inc. Ps

NPI #1578755211 in Mount Vernon, Washington

Provider Information

NPI Number: 1578755211
Entity Type: Organization
Organization Name: Cooper Urology, Inc. Ps
Primary Specialty: Urology
Enumeration Date: Aug 16, 2007
Last Updated: Aug 16, 2007

Practice Location

Address: 1611 BUCK WAY
City: Mount Vernon
State: Washington
ZIP Code: 98273-2596
Phone: (360) 424-2180

Authorized Official

Name: LAURIE PRESTON
Title: MANAGER
Phone: (360) 424-2180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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