Paul David Cooper Jr, CRNA | |
100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | |
(910) 450-4159 | |
(910) 450-4194 |
Full Name | Paul David Cooper Jr |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1265702187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 82576 (California) | Primary |
Entity Name | Hafa Specialist Group Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235141060 PECOS PAC ID: 3779482286 Enrollment ID: O20040105000249 |
Mailing Address | Practice Location Address |
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Paul David Cooper Jr, CRNA 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 Ph: () - | Paul David Cooper Jr, CRNA 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4159 |
Dr. Jason Allan Patacsil, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4785 Fax: 910-450-4790 | |
Mr. John Carol Daniels Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 301-256-7157 | |
Robert Roland Bradford Iii, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Justin Beryl Hefley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4288 | |
Dr. Roger G Cason, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-3326 | |
Devon Nicole Kovacs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 |