COOPER CLINIC PA NPI 1063768901

NPI Information

COOPER CLINIC PA is a podiatrist in Fort Smith, AR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. COOPER CLINIC PA NPI is 1063768901. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5004 S U ST
FORT SMITH, AR
ZIP 72903-600
Phone: (479) 274-6700
Fax: (479) 484-4768

The provider's authorized official is Curtis Ralston .
The authorized official title is Ceo and has the following contact phone number (479) 274-2000.

The enumeration date for this NPI number is 7/30/2012 and was last updated on 9/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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