| Alex D. Cooper, Md, Pllc | |
|
1570 N 115th St Suite 14 Seattle WA 98133-8412 | |
| (206) 365-0111 | |
| (206) 365-2980 |
| Full Name | Alex D. Cooper, Md, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1570 N 115th St, Seattle, Washington |
| Authorized Official Name and Position | Alex D Cooper (PHYSICIAN) |
| Authorized Official Contact | 2063650111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alex D. Cooper, Md, Pllc 1570 N 115th St Suite 14 Seattle WA 98133-8412 Ph: (206) 365-0111 | Alex D. Cooper, Md, Pllc 1570 N 115th St Suite 14 Seattle WA 98133-8412 Ph: (206) 365-0111 |
| NPI Number | 1982832218 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 06/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982832218 | NPI | - | NPPES |
| 849495900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MD60071796 (Washington) | Primary |
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