Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cooper Clinic PA

Organization Family Medicine Physician · NPI 1245633692

Cooper Clinic PA is a Family Medicine Physician in Booneville, Arkansas. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

690 N Kennedy Ave Rm 1
Booneville, AR 72927-3240
Phone: (479) 274-2000
Fax: (479) 274-2194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1245633692
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Curtis Ralston — Ceo · (479) 274-2000
NPI enumeratedSeptember 30, 2014
Last updated in NPPESSeptember 1, 2015
Mailing addressPo Box 3528, Fort Smith, AR 72913-3528

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