JACLYN COOPERRIDER, MD

Family Medicine

Active Individual
NPI: 1518372846

Practice Address

325 W IDAHO ST
Boise, ID 83702

Phone: (208) 514-2525

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No MRM-1390 (ID)
Family Medicine - Sports Medicine 207QS0010X No M-13130 (ID)

Frequently Asked Questions

NPI 1518372846 is the National Provider Identifier for JACLYN COOPERRIDER, MD, a Family Medicine provider located in Boise, ID. This NPI was enumerated on June 25, 2014.
JACLYN COOPERRIDER, MD practices at 325 W IDAHO ST, Boise, ID 83702.

Quick Facts

NPI
1518372846
Type
Individual
Enumerated
Jun 25, 2014
Last Updated
Dec 15, 2023

Nearby Providers