| Paul David Cooper Jr, CRNA | |
|
100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 | |
| (910) 450-4159 | |
| (910) 450-4194 |
| Full Name | Paul David Cooper Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Brewster Blvd, Camp Lejeune, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265702187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 82576 (California) | Primary |
| Entity Name | Hafa Specialist Group Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235141060 PECOS PAC ID: 3779482286 Enrollment ID: O20040105000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul David Cooper Jr, CRNA 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 Ph: () - | Paul David Cooper Jr, CRNA 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547-2538 Ph: (910) 450-4159 |
Dr. Jason Allan Patacsil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4785 Fax: 910-450-4790 | |
Robert Roland Bradford Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Justin Beryl Hefley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4288 | |
Jeffrey Henderson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3325 | |
Devon Nicole Kovacs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Timothy Kyle Stacks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547 Phone: 910-450-4791 |