Healthcare Provider Details

I. General information

NPI: 1689611733
Provider Name (Legal Business Name): WILLIAM H COOPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 03/28/2025
Certification Date: 03/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 E 104TH AVE
THORNTON CO
80233-4406
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 720-929-8300
  • Fax:
Mailing address:
  • Phone: 702-579-3203
  • Fax: 195-382-9907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0034773
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: