| W Thomas Cooper, MD PS | |
|
1200 N 14th Ave Suite 245 Pasco WA 99301-4182 | |
| (509) 547-9521 | |
| (509) 547-5983 |
| Full Name | W Thomas Cooper, MD PS |
|---|---|
| Speciality | General Practice |
| Location | 1200 N 14th Ave, Pasco, Washington |
| Authorized Official Name and Position | W Thomas Cooper (PRESIDENT) |
| Authorized Official Contact | 5095479521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| W Thomas Cooper, MD PS 1200 N 14th Ave Suite 245 Pasco WA 99301-4182 Ph: (509) 547-9521 | W Thomas Cooper, MD PS 1200 N 14th Ave Suite 245 Pasco WA 99301-4182 Ph: (509) 547-9521 |
| NPI Number | 1255515862 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 01/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255515862 | NPI | - | NPPES |
| 1377100 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD00020136 (Washington) | Primary |
Ppgwni Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3901 W Court, Pasco, WA 99301 Phone: 866-904-7721 Fax: 509-248-3644 |
Lourdes Health and Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4215 Convention Pl, Suite B, Pasco, WA 99301 Phone: 509-416-8849 |
Advantagepoint Health Alliance - Northwest, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7425 Wrigley Dr Ste 100, Pasco, WA 99301 Phone: 509-416-8888 |
Chc La Clinica - Health Maint. Org Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204 Fax: 509-542-8836 |
Lourdes 14th Avenue Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 N 14th Ave, Pasco, WA 99301 Phone: 509-547-7704 |
Associated Family Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 W Park St, Suite 3, Pasco, WA 99301 Phone: 509-547-6617 Fax: 509-547-6435 |