NPI 1154652410

R. Edward Cooper Jr MD, PA

Organisation Specialist Jonesboro, AR

Practice location

Address: 1000 E Matthews Ave Suite D, Jonesboro, AR 72401-4307
Phone: (870) 972-8521
Fax: (870) 972-8042

Authorised official

Name: Don Smith
Title: Office Manager
Phone: (870) 972-8521

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence C8114 (AR)

Other Specialist providers in Arkansas →

Registry record

NPI: 1154652410
Entity type: Organization
NPI issued: 26 Jan 2010
Record last updated: 13 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.