MEDICARE: DR. CHRISTOPHER STEVEN COSPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	00019314	AL

General Provider Information

NPI Number	:	1457312456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER STEVEN COSPER MD

Provider Business Mailing Address
First Line	:	701 W MAPLE AVE
Second Line	:
City	:	GENEVA
State	:	AL
Zip	:	36340-1609
Country	:	US
Telephone Number	:	334-684-9208
Fax Number	:	334-684-1302

Provider Business Practice Location Address
First Line	:	701 W MAPLE AVE
Second Line	:
City	:	GENEVA
State	:	AL
Zip	:	36340-1609
Country	:	US
Telephone Number	:	334-684-9208
Fax Number	:	334-684-1302

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	04/09/2008

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