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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ELLIS O. COOPER III, MD

Active

DR. ELLIS O. COOPER III, MD is a Orthopaedic Surgery of the Spine healthcare provider located in SHREVEPORT, Louisiana. NPI 1619036951 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Surgery of the Spine · SHREVEPORT, LA

Registration Details

NPI Number
1619036951
Provider Type
Individual
Gender
Male
NPI Issued
Dec 6, 2006 (19.733280671222 yrs)
Last Updated
Jul 31, 2020
License
022842 (LA)

Practice Information

Address
1500 LINE AVE
SUITE 100
SHREVEPORT, LA, 711014644
Browse LA providers · Browse ZIP 71101
Phone
3186353052
Fax
3186353072
Primary Specialty
Orthopaedic Surgery of the Spine
207XS0106X

Other Orthopaedic Surgery of the Spine Providers in SHREVEPORT, LA

Name Credential NPI
MICHELLE R RITTER M.D. 1609837020
KARL K BILDERBACK MD 1942245345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.