NPI 1760659940
John William Cooper, CSTCFA
Practice location
- Address
- 10 High St Suite 105, Lewiston, ME 04240-7653
- Phone
- (207) 795-5710
- Fax
- (207) 795-2559
Registered specialties
Surgical Assistant
Primary
Registry record
- NPI
- 1760659940
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 May 2008
- Record last updated
- 15 May 2008
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.