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Dr. Jerry D Cooper, DPM
Podiatrist in Idaho Falls, Idaho
NPI 1942299151

Jerry D Cooper is a Podiatrist based in Idaho Falls, ID. Jerry D Cooper practices in Idaho Falls, ID and has the professional credentials of DPM. The NPI Number for Jerry D Cooper is 1942299151 and holds a License No. P126 (Idaho).

The current practice location address for Jerry D Cooper is 2565 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-523-2928 and via fax at 208-523-2962.

Location: 2565 Channing Way, Idaho Falls, ID, 83404-7516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942299151
Provider Name
Jerry D Cooper
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2565 Channing Way, Idaho Falls, ID, 83404-7516
Phone Number
208-523-2928
Fax Number
208-523-2962
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001393600 05 ID
institution
Provider Business Practice Location Address Details
Address
2565 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7516
Phone Number
208-523-2928
Fax Number
208-523-2962
person
Provider Business Mailing Address Details
Address
2565 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7516
Phone Number
208-523-2928
Fax Number
208-523-2962
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
P126 (Idaho)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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