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Dale Cooper
NPI 1023417771 · on the registry since 2014
Practice
- Address
- 28 Peachtree Ln
Madison, MS 39110 - Phone
- (800) 330-7711
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi