DR. Wantzy Cooper, D.O.

NPI #1942383393 in Needles, California

Provider Information

NPI Number: 1942383393
Entity Type: Individual
Name: DR. Wantzy Cooper, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Oct 21, 2006
Last Updated: Apr 8, 2024

Practice Location

Address: 1401 BAILEY AVE
Address 2: BLDG 1
City: Needles
State: California
ZIP Code: 92363-3103
Phone: (760) 590-0155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Surgery	208600000X
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
General Practice	208D00000X

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