| Loren D Cooper, Md, Inc. Ps | |
|
1800 Cooks Hill Rd Centralia WA 98531-9072 | |
| (360) 330-8592 | |
| (360) 330-8617 |
| Full Name | Loren D Cooper, Md, Inc. Ps |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Cooks Hill Rd, Centralia, Washington |
| Authorized Official Name and Position | Loren D Cooper (PRESIDENT) |
| Authorized Official Contact | 3603308591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loren D Cooper, Md, Inc. Ps 1800 Cooks Hill Rd Centralia WA 98531-9072 Ph: (360) 330-8592 | Loren D Cooper, Md, Inc. Ps 1800 Cooks Hill Rd Centralia WA 98531-9072 Ph: (360) 330-8592 |
| NPI Number | 1669704755 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669704755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15204 (Washington) | Primary |
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