NPI 1528184132

Cooper Clinic PA

Organisation Plastic Surgery Physician Fort Smith, AR

Practice location

Address: 3017 S 70th St, Fort Smith, AR 72903-5049
Phone: (479) 274-6600
Fax: (479) 484-4752
Mailing address: PO Box 3528, Fort Smith, AR 72913-3528

Authorised official

Name: Curtis Ralston
Title: Ceo
Phone: (479) 274-2000

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MC-0254 (AR)

Other Plastic Surgery providers in Arkansas →

Registry record

NPI: 1528184132
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 1 Sep 2015

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.