DR. JERRY COOPER, D.P.M.

Podiatrist

Active Individual
NPI: 1942299151

Practice Address

2565 CHANNING WAY
Idaho Falls, ID 83404

Phone: (208) 523-2928

Specialties

Specialty Code Primary License
Podiatrist 213E00000X Yes P126 (ID)

Frequently Asked Questions

NPI 1942299151 is the National Provider Identifier for DR. JERRY COOPER, D.P.M., a Podiatrist provider located in Idaho Falls, ID. This NPI was enumerated on October 19, 2005.
DR. JERRY COOPER, D.P.M. practices at 2565 CHANNING WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1942299151
Type
Individual
Enumerated
Oct 19, 2005
Last Updated
Jun 11, 2013

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