National Provider Identifier Database

COOPER CLINIC PA
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

COOPER CLINIC PA
6801 ROGERS AVE
FORT SMITH, AR72903-4067
Phone: 479-274-3500
Fax: 479-274-3599
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COOPER CLINIC PA

NPI Number 1700099074
Legal business name
LBN
COOPER CLINIC PA
Authorized official CURTIS RALSTON - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/07/2007
Last updated 09/01/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • AR License #: MC-0254
  • AR Medicaid: 125018002

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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