person
Dr. Randall Allen Cooper, DPM
Foot Surgery Podiatrist in Elkhart, Indiana
NPI 1811975667

Randall Allen Cooper is a Foot Surgery Podiatrist based in Elkhart, IN and is specialized in Foot Surgery. Randall Allen Cooper practices in Elkhart, IN and has the professional credentials of DPM. The NPI Number for Randall Allen Cooper is 1811975667 and holds a License No. 07000384A (Indiana).

The current practice location address for Randall Allen Cooper is 1723 E Bristol St, Elkhart, IN and can be reached out via phone at 574-264-7180 and via fax at 574-264-1875.

Location: 1723 E Bristol St, Elkhart, IN, 46514-3968
person
Provider Profile Details
NPI Number
1811975667
Provider Name
Randall Allen Cooper
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1723 E Bristol St, Elkhart, IN, 46514-3968
Phone Number
574-264-7180
Fax Number
574-264-1875
Provider Enumeration Date
01/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100112180 05 IN
480010783 01 IN PALMETTO GBA-RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1723 E Bristol St
City
State
Zip
46514-3968
Phone Number
574-264-7180
Fax Number
574-264-1875
person
Provider Business Mailing Address Details
Address
1723 E Bristol St
City
State
Zip
46514-3968
Phone Number
574-264-7180
Fax Number
574-264-1875
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
07000384A (Indiana)
Definition
Definition to come...
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