Provider Demographics
NPI:1609964337
Name:ROPER-COOPER, DANA L (MD)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:L
Last Name:ROPER-COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DANA
Other - Middle Name:L
Other - Last Name:ROPER-JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1960 OGDEN ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-3666
Mailing Address - Country:US
Mailing Address - Phone:303-318-3540
Mailing Address - Fax:303-318-2482
Practice Address - Street 1:1960 OGDEN ST
Practice Address - Street 2:SUITE 230
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-3666
Practice Address - Country:US
Practice Address - Phone:303-318-3540
Practice Address - Fax:303-318-2482
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO37755207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO15581331Medicaid
H36064Medicare UPIN
COC517758Medicare ID - Type Unspecified