Susannah Catherine Cooper MD

NPI 1790846038 - Internal Medicine - 207R00000X

NPI Details
NPI 1790846038
Gender Female
Enumeration Date 12/12/2006
Last Updated 05/19/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
2200 BERGQUIST DR STE 1
HEMATOLOGY/ONCOLOGY
LACKLAND A F B TX, 78236-9908, US
Phone (210) 292-7311
Fax
Business Location
2200 BERGQUIST DR STE 1
HEMATOLOGY/ONCOLOGY
LACKLAND A F B TX, 78236-9908, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Virginia
License Number 0101242150
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According to our database, Susannah Catherine Cooper MD NPI is 1790846038, taxonomy code is 207R00000X and license number is 0101242150, license state is located at Virginia. Susannah Catherine Cooper MD physically located at 2200 Bergquist Dr Ste 1, Lackland A F B TX, 78236-9908. NPI Number Susannah Catherine Cooper MD has the Individual type.

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1790846038 NPI number is provided on an as is basis without warranty of any kind. 1790846038 is maintained by the National Plan & Provider Enumeration System. The contents of Susannah Catherine Cooper MD are for informational purposes only.