Organization · NPI-2

Alex D. Cooper, MD, PLLC

Psychiatry & Neurology, Neurology · Seattle, WA

NPI number1982832218
StatusActive
Last updated in NPPESJun 25, 2009

Details

NPI
1982832218
Entity type
Organization (NPI-2)
Legal business name
Alex D. Cooper, MD, PLLC
Organization subpart
No
Enumeration date
Jun 25, 2009
Last updated
Jun 25, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyMD60071796WAYes

Practice location

1570 N 115th St
Suite 14
Seattle, WA 98133-8412

Phone 206-365-0111 · Fax 206-365-2980

Mailing address

1570 N 115th St
Suite 14
Seattle, WA 98133-8412

Phone 206-365-0111 · Fax 206-365-2980

Authorized official

Alex D Cooper
Physician
2063650111

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