Cooper, Susannah Catherine

Cooper, Susannah Catherine is an individual health care provider with primary practice located at 1620 W Saint Marys Rd , Tucson AZ 85745-2624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Cooper, Susannah Catherine can be contacted via phone (520) 624-7445.

Contact Information

Primary practice address
1620 W Saint Marys Rd Tucson AZ 85745-2624
Phone: (520) 624-7445
Fax: (520) 623-6145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X R5850 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101242150 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 62128 Arizona
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 60670 Tennessee

Profile Details

NPI number 1790846038
LBN Legal business name Cooper, Susannah Catherine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 5th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790846038 NPPES
Tennessee MEDICAID Q055008

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