TRACE COOPER, DO STUDENT

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1326890096

Practice Address

1401 E CENTRAL DR
Meridian, ID 83642

Phone: (208) 795-4266

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1326890096 is the National Provider Identifier for TRACE COOPER, DO STUDENT, a Student in an Organized Health Care Education/Training Program provider located in Meridian, ID. This NPI was enumerated on April 4, 2024.
TRACE COOPER, DO STUDENT practices at 1401 E CENTRAL DR, Meridian, ID 83642.

Quick Facts

NPI
1326890096
Type
Individual
Enumerated
Apr 4, 2024
Last Updated
Apr 4, 2024

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