Cooper Chiropractic and Neurological Diagnostic Center PA

NPI #1801915889 in NE Palm Bay, Florida

Provider Information

NPI Number: 1801915889
Entity Type: Organization
Organization Name: Cooper Chiropractic and Neurological Diagnostic Center PA
Primary Specialty: Chiropractor
Enumeration Date: Mar 28, 2007
Last Updated: Oct 24, 2012

Practice Location

Address: 1501 ROBERT J CONLAN BLVD
Address 2: SUITE 3
City: NE Palm Bay
State: Florida
ZIP Code: 32905-3502
Phone: (321) 726-8116

Authorized Official

Name: DR. STANTON TUCKER COOPER, D.C.,D.A.C.A.N.
Title: PROVIDER
Phone: (321) 726-8116

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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