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Travis Cooper
NPI 1821380221 · on the registry since 2011
Practice
- Address
- 1717 Broadway Ave
Sidney, OH 45365 - Phone
- (937) 493-0004
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-04-21
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 Ohio