Individual provider · Type 1 NPI

Wantzy Cooper, DO

Vascular Surgery Physician · Needles, CA

NPI number 1942383393 Active

Practice location

1401 Bailey Ave, Bldg 1
Needles, CA 92363-3103

Call (760) 590-0155 Map

Fax (760) 323-7134

Mailing address

PO Box 9893
Fort Mohave, AZ 86427-9893

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X14611 (CA)
Surgery Physician 208600000XMB74255 (NJ)
Vascular Surgery Physician 2086S0129X14611 (CA)
General Practice Physician 208D00000X14611 (CA)
General Practice Physician 208D00000X005530 (AZ)
Vascular Surgery Physician Primary 2086S0129X005530 (AZ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

13 other providers at this address

About NPI 1942383393

Wantzy Cooper, DO's National Provider Identifier is 1942383393, issued on Oct 21, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Needles, CA. The record was last updated on Apr 8, 2024.