John Wayne Cooper MD

NPI 1053499210 - Family Medicine - 207Q00000X

NPI Details
NPI 1053499210
Gender Male
Enumeration Date 11/02/2006
Last Updated 07/01/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
NOVATO CA, 94945-5038, US
Phone (415) 892-0947
Fax (415) 892-6247
Business Location
PO BOX 2129
NOVATO CA, 94948-2129, US
Phone (415) 892-0947
Fax (415) 892-6247
Taxonomy Code 207Q00000X
License State California
License Number G16669
Remove 1053499210 NPI Number

According to our database, Dr. John Wayne Cooper MD NPI is 1053499210, taxonomy code is 207Q00000X and license number is G16669, license state is located at California. John Wayne Cooper MD physically located at 165 Rowland Way, Novato CA, 94945-5038. NPI Number John Wayne Cooper MD has the Individual type.

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1053499210 NPI number is provided on an as is basis without warranty of any kind. 1053499210 is maintained by the National Plan & Provider Enumeration System. The contents of John Wayne Cooper MD are for informational purposes only.