person
Mrs. Stacy Cooper, PA-C
Medical Physician Assistant in Blackfoot, Idaho
NPI 1518157544

Stacy Cooper is a Medical Physician Assistant based in Blackfoot, ID and is specialized in Medical. Stacy Cooper practices in Blackfoot, ID and has the professional credentials of PA-C. The NPI Number for Stacy Cooper is 1518157544 and holds a License No. PA648 (Idaho).

The current practice location address for Stacy Cooper is 98 Poplar St, Blackfoot, ID and can be reached out via phone at 208-785-4100.

Location: 98 Poplar St, Blackfoot, ID, 83221-1758
person
Provider Profile Details
NPI Number
1518157544
Provider Name
Stacy Cooper
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
98 Poplar St, Blackfoot, ID, 83221-1758
Phone Number
208-785-4100
Fax Number
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-4100
Fax Number
person
Provider Business Mailing Address Details
Address
98 Poplar St
City
State
Zip
83221-1758
Phone Number
208-785-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA648 (Idaho)
Definition
Definition to come...
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