Provider Demographics
NPI:1346450095
Name:COOPER, RUTH A (MD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:A
Last Name:COOPER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5726 STONEWALL RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-4324
Mailing Address - Country:US
Mailing Address - Phone:501-664-9800
Mailing Address - Fax:501-379-4248
Practice Address - Street 1:712 W 3RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-2220
Practice Address - Country:US
Practice Address - Phone:501-379-4246
Practice Address - Fax:501-379-4248
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARR-29702084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARC68068Medicare UPIN