Provider Demographics
NPI:1437284189
Name:COOPER, JAMES B (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:COOPER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-3728
Mailing Address - Country:US
Mailing Address - Phone:501-778-0934
Mailing Address - Fax:501-778-1013
Practice Address - Street 1:3 MEDICAL PARK DR
Practice Address - Street 2:SUITE 100
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-3728
Practice Address - Country:US
Practice Address - Phone:501-778-0934
Practice Address - Fax:501-778-1013
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2008-04-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC6393207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR109509601Medicaid