Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY D COOPER, D.P.M.
Active Sole ProprietorPodiatrist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1942299151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2005 (20.504650678913 yrs)
- Last Updated
- Jun 11, 2013
- License
-
P126 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2565 CHANNING WAYIDAHO FALLS, ID, 834047516Browse ID providers · Browse ZIP 83404
- Phone
- 2085232928
- Fax
- 2085232962
- Primary Specialty
-
Podiatrist
213E00000X
Other Podiatrist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| ANDREW L MCCALL | D.P.M. P.A. | 1225065246 |
| DR. MICHAEL K. JAMES | DPM | 1629111497 |
| DR. TIMOTHY ROGER BLACK | DPM | 1578753091 |
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.