Russell William Cooper CTRS

NPI 1669406104 - Specialist - 174400000X

NPI Details
NPI 1669406104
Gender Male
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8495 CRATER LAKE HWY
WHITE CITY OR, 97503-3011, US
Phone (541) 826-2111
Fax
Business Location
2522 BEL ABBES AVE
MEDFORD OR, 97504-1737, US
Phone (541) 779-1171
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1669406104 NPI Number
 

According to our database, Russell William Cooper CTRS NPI is 1669406104, taxonomy code is 174400000X Russell William Cooper CTRS physically located at 8495 Crater Lake Hwy, White City OR, 97503-3011. NPI Number Russell William Cooper CTRS has the Individual type.

Sponsored links

1669406104 NPI number is provided on an as is basis without warranty of any kind. 1669406104 is maintained by the National Plan & Provider Enumeration System. The contents of Russell William Cooper CTRS are for informational purposes only.