Provider Demographics
NPI:1649239807
Name:COOPER, MICHAEL A (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:A
Last Name:COOPER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:950 E HARVARD AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-7009
Mailing Address - Country:US
Mailing Address - Phone:303-778-6527
Mailing Address - Fax:303-733-1288
Practice Address - Street 1:4600 HALE PKWY
Practice Address - Street 2:SUITE 460
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-4020
Practice Address - Country:US
Practice Address - Phone:303-388-7265
Practice Address - Fax:303-331-6839
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2008-03-25
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Provider Licenses
StateLicense IDTaxonomies
CO318522086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01318526Medicaid
COE44355Medicare UPIN
COCM5578Medicare PIN