Dr. Roger Willson Cooper
Periodontist
1625 W Ina Rd Suite # 103
Tucson
, Arizona 85704-1900
Dr. Roger Willson Cooper
Periodontist
1625 W Ina Rd Suite # 103
Tucson
, Arizona 85704-1900
(520) 575-0618
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Roger Willson Cooper
- 1625 W Ina Rd Suite # 103
- Tucson, AZ
- Zip : 85704-1900
- Fax : (520) 575-0618
- Phone : (520) 531-8605
Second Address
- Dr. Roger Willson Cooper
- 1625 W Ina Rd Suite # 103
- Tucson, AZ
- Zip : 85704-1900
- Fax : (520) 575-0618
- Phone : (520) 531-8605
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | D6003 | AZ |
National Provider Identifier
| NPI | 1114078136 |
|---|---|
| Provider Name | Dr. Roger Willson Cooper |
| First Address | Tucson, AZ 85704-1900 |
| Second Address | Tucson, AZ 85704-1900 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.