MR. John William Cooper JR., CST/CFA

NPI #1760659940 in Lewiston, Maine

Provider Information

NPI Number: 1760659940
Entity Type: Individual
Name: MR. John William Cooper JR., CST/CFA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist, Other - Surgical Assistant
Credential: CST/CFA
Enumeration Date: May 15, 2008
Last Updated: May 15, 2008

Practice Location

Address: 10 HIGH ST
Address 2: SUITE 105
City: Lewiston
State: Maine
ZIP Code: 04240-7653
Phone: (207) 795-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Assistant — Surgical Assistant	246ZC0007X	Primary

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