Mrs. STACY COOPER -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1518157544- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 785-4100
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA648