John W Cooper A.A.S., L.D.

NPI 1083958011 - Denturist - 122400000X

NPI Details
NPI 1083958011
Gender Male
Enumeration Date 11/15/2012
Last Updated 11/15/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3949 SHASTA WAY
KLAMATH FALLS OR, 97603, US
Phone (541) 884-0292
Fax (884) 619-2541
Business Location
3949 SHASTA WAY
KLAMATH FALLS OR, 97603, US
Phone (541) 884-0292
Fax (541) 884-6192
Toxanomy
Taxonomy Code 122400000X
License State Oregon
License Number DT-D-0501891
Remove 1083958011 NPI Number
 

According to our database, Mr. John W Cooper A.A.S., L.D. NPI is 1083958011, taxonomy code is 122400000X and license number is DT-D-0501891, license state is located at Oregon. John W Cooper A.A.S., L.D. physically located at 3949 Shasta Way, Klamath Falls OR, 97603. NPI Number John W Cooper A.A.S., L.D. has the Individual type.

Sponsored links

1083958011 NPI number is provided on an as is basis without warranty of any kind. 1083958011 is maintained by the National Plan & Provider Enumeration System. The contents of John W Cooper A.A.S., L.D. are for informational purposes only.