MRS. STACY COOPER, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1518157544

Practice Address

98 POPLAR ST
Blackfoot, ID 83221

Phone: (208) 785-4100

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA648 (ID)

Frequently Asked Questions

NPI 1518157544 is the National Provider Identifier for MRS. STACY COOPER, PA-C, a Physician Assistant - Medical provider located in Blackfoot, ID. This NPI was enumerated on July 26, 2007.
MRS. STACY COOPER, PA-C practices at 98 POPLAR ST, Blackfoot, ID 83221.

Quick Facts

NPI
1518157544
Type
Individual
Enumerated
Jul 26, 2007
Last Updated
May 1, 2009

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