Provider Demographics
NPI:1588639959
Name:COPE, MICHAEL GLENN (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:GLENN
Last Name:COPE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9601 BAPTIST HEALTH DRIVE
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205
Mailing Address - Country:US
Mailing Address - Phone:501-664-4131
Mailing Address - Fax:501-975-1798
Practice Address - Street 1:9601 BAPTIST HEALTH DRIVE
Practice Address - Street 2:SUITE 1200
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-664-4131
Practice Address - Fax:501-975-1798
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARN 8067207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR119043001Medicaid
AR119043001Medicaid
AR54566Medicare UPIN