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

Cooper Clinic PA

Organization Family Medicine Physician · NPI 1366655623

Cooper Clinic PA is a Family Medicine Physician in Charleston, Arkansas. Licensed in Arkansas. Registered with an NPI since 2007.

Licensed in
AR
In the registry since
2007
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

1801 E Main St
Charleston, AR 72933-9254
Phone: (479) 274-2000
Fax: (479) 274-2194
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MC-0254 (AR)

Record details

NPI number1366655623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Curtis Ralston — Ceo · (479) 274-2000
NPI enumeratedMay 7, 2007
Last updated in NPPESOctober 20, 2015
Mailing addressPo Box 3528, Fort Smith, AR 72913-3528

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