Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WANTZY COOPER, D.O.
ActiveDR. WANTZY COOPER, D.O. is a Vascular Surgery healthcare provider located in NEEDLES, California. NPI 1942383393 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · NEEDLES, CA
Registration Details
- NPI Number
- 1942383393
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 21, 2006 (19.807111163062 yrs)
- Last Updated
- Apr 8, 2024
- Licenses
-
14611 (CA)MB74255 (NJ)14611 (CA)14611 (CA)005530 (AZ)
Practice Information
- Address
-
1401 BAILEY AVEBLDG 1NEEDLES, CA, 923633103Browse CA providers · Browse ZIP 92363
- Phone
- 7605900155
- Fax
- 7603237134
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- General Surgery
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- General Practice
- Additional Specialty
- General Practice
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.