NPI 1083958011

John W Cooper, AASLD

Practitioner Denturist Klamath Falls, OR

Practice location

Address: 3949 Shasta Way, Klamath Falls, OR 97603
Phone: (541) 884-0292
Fax: (884) 619-2541

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-D-0501891 (OR)

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Registry record

NPI: 1083958011
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Nov 2012
Record last updated: 15 Nov 2012

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.