Loren D Cooper, MD | |
1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 | |
(360) 330-8591 | |
Not Available |
Full Name | Loren D Cooper |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1800 Cooks Hill Rd, Centralia, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649267196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | MD00015204 (Washington) | Primary |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376624981 PECOS PAC ID: 9234048323 Enrollment ID: O20040227000254 |
Mailing Address | Practice Location Address |
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Loren D Cooper, MD 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 Ph: (360) 330-8591 | Loren D Cooper, MD 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 Ph: (360) 330-8591 |
Dr. Richard Scott Elloway, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 S. Scheuber Road, Suite G, Centralia, WA 98531 Phone: 360-330-8808 Fax: 360-330-8816 | |
David Fick, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-736-2803 | |
Eric S Swanson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 | |
Dr. Romil Wadhawan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 S Scheuber Rd, Suite 3&4, Centralia, WA 98531 Phone: 360-807-7966 Fax: 360-807-7977 | |
Dr. Floyd D Smith, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1611 Kresky Ave, Suite 112, Centralia, WA 98531 Phone: 360-330-2023 Fax: 360-623-1585 | |
Katie Elizabeth Kunnen, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Centralia, WA 98531 Phone: 360-827-8811 Fax: 360-330-8969 | |
Dr. Iftikhar Ali Ch, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 914 S Scheuber Rd, Providence Centralia Hos- Ekg, Centralia, WA 98531 Phone: 370-736-2803 |