MEDICARE: WILLIAM H COOPER, MD, PC

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	207QA0505X	Adult Medicine Physician	34773	CO

General Provider Information

NPI Number	:	1598954109
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM H COOPER, MD, PC

Provider Business Mailing Address
First Line	:	8671 S QUEBEC ST
Second Line	:	SUITE 250
City	:	LITTLETON
State	:	CO
Zip	:	80130-5859
Country	:	US
Telephone Number	:	303-791-6447
Fax Number	:

Provider Business Practice Location Address
First Line	:	8671 S QUEBEC ST
Second Line	:	SUITE 250
City	:	LITTLETON
State	:	CO
Zip	:	80130-5859
Country	:	US
Telephone Number	:	303-791-6447
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM H COOPER
Credential	:	MD
Telephone Number	:	303-791-6447

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	10/19/2007

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