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1073673166
BRIAN EZAR COOPER
FORT DEFIANCE, AZ
NPI
1073673166
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 053582)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
Dr. BRIAN EZAR COOPER M.D.
CORNER OF RT N7 AND N12
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8600
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Mailing Address
Dr. BRIAN EZAR COOPER M.D.
CORNER OF RT N7 AND N12 P.O. BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8600
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