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Dale Cooper
NPI 1184244634 · on the registry since 2020 · sole proprietor
Practice
- Address
- 5208 W Avalon Dr
Phoenix, AZ 85031 - Phone
- (623) 271-9011
- Organisation at this address
- Holy Trinity Behavioral,Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2020-04-24
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 Arizona