Stacy Cooper is a Medical in Blackfoot, Idaho. Stacy Cooper practices all healthcare services and medical treatments related to Medical. The NPI Number for Stacy Cooper is 1518157544. The last update date is 2009-05-01.
Stacy Cooper's current location address is 98 Poplar St, Blackfoot, Idaho. You can contact this provider via phone number 2087854100. The mailing address for Stacy Cooper is 98 Poplar St, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Cooper |
|---|---|
| Address | 98 Poplar St, Blackfoot, Idaho |
| Phone Number | 2087854100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1518157544 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2009-05-01 |
Provider Mailing Address Detail
| Address | 98 Poplar St |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 832211758 |
| Phone Number | 2087854100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA648 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the Stacy Cooper's 1518157544?
The Stacy Cooper's NPI (National Provider Identifier) Number is 1518157544. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy Cooper?
The Stacy Cooper is physically situated at 98 Poplar St, in the city of Blackfoot, state of ID, with the postal code 832211758.
What is Stacy Cooper's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy Cooper is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did Stacy Cooper receive its 1518157544 assignment from the Centers for Medicare & Medicaid Services?
The Stacy Cooper was assigned its 1518157544 on 2007-07-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Stacy Cooper last refreshed?
The information related to the Stacy Cooper, including its address, specialty, and other relevant details, was last updated on 2009-05-01.
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