Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STACY COOPER, PA-C
ActiveMRS. STACY COOPER, PA-C is a Medical Physician Assistant healthcare provider located in BLACKFOOT, Idaho. NPI 1518157544 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BLACKFOOT, ID
Registration Details
- NPI Number
- 1518157544
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2007 (19.088887481004 yrs)
- Last Updated
- May 1, 2009
- License
-
PA648 (ID)
Practice Information
- Address
-
98 POPLAR STBLACKFOOT, ID, 832211758Browse ID providers · Browse ZIP 83221
- Phone
- 2087854100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BLACKFOOT, ID
| Name | Credential | NPI |
|---|---|---|
| RYAN BLAIR KILLPACK | PA-C | 1114405396 |
| JUSTIN GREGG NELSON | PA-C | 1790403178 |
| SCOTT RYAN MANGUM | PA-C | 1043180730 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.