NPI 1073673166

Brian Ezar Cooper, MD

Practitioner Emergency Medicine Physician Fort Defiance, AZ

Practice location

Address: Corner of Rt N7 and N12, Fort Defiance, AZ 86504-0649
Phone: (928) 729-8600
Fax: (928) 729-8624
Mailing address: Corner of Rt N7 and N12 P.O. Box 649, Fort Defiance, AZ 86504-0649

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 053582 (GA)

Other Emergency Medicine providers in Arizona →

Registry record

NPI: 1073673166
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2006
Record last updated: 8 Jul 2007

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.