Cooper, Randy I
Cooper, Randy I is an individual health care provider with primary practice located at 7362 W Thunderbird Rd Ste 103 , Peoria AZ 85381-5028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Cooper, Randy I can be contacted via phone (480) 610-6152.Contact Information
Primary practice address
7362 W Thunderbird Rd Ste 103
Peoria AZ 85381-5028
Phone: (480) 610-6152
Fax: (480) 610-6189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 30432 | Arizona |
Profile Details
| NPI number | 1154316495 |
|---|---|
| LBN Legal business name | Cooper, Randy I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Oct 4th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154316495 | NPPES |
| Arizona | MEDICAID | 722464 |
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