Cooper, Randal Lloyd

Cooper, Randal Lloyd is an individual health care provider with primary practice located at 4951 S White Mountain Rd Bldg A , Show Low AZ 85901-7827. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Cooper, Randal Lloyd can be contacted via phone (928) 537-6700.

Contact Information

Primary practice address
4951 S White Mountain Rd Bldg A Show Low AZ 85901-7827
Phone: (928) 537-6700
Fax: (928) 532-2199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207QA0000X RL14102 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 57799 Arizona

Profile Details

NPI number 1235581539
LBN Legal business name Cooper, Randal Lloyd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2016
Last updated Apr 12th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235581539 NPPES
North Dakota MEDICAID 12083
North Dakota MEDICAID 551329

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