Doctor Name: | RICHARD A COOPER |
NPI Number: | 1124097894 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G16591 |
Business Practice Address: | 17523 Johnson Way Ne Poulsbo, WA - 98370 |
Business Phone Number: | 3606974745 |
Business Fax Number: | 3606974745 |
Mailing Address: | 17523 Johnson Way Ne, POULSBO |
State: | WA |
Postal Code: | 98370 |
Phone Number: | 3606974745 |
Fax Number: | 3606974745 |
NPI Enumeration Date: | 03/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | G16591 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |