| Organization Name: | W THOMAS COOPER, MD PS |
| NPI Number: | 1255515862 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | W THOMAS COOPER (PRESIDENT) |
| Mailing Address: | 1200 N 14th Ave Suite 245 Pasco |
| State: | WA US |
| Postal Code: | 993014182 |
| Phone Number: | 5095479521 |
| Fax Number: | 5095475983 |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 01/08/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD00020136 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |