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Search › Idaho › 363AM0700X

Stacy Cooper, PA-C

NPI 1518157544 · on the registry since 2007

Practice

Address
98 Poplar St
Blackfoot, ID 83221
Phone
(208) 785-4100
Organisation at this address
Bmh Inc
Bmh Inc
Bmh Inc
Bmh Inc
Bmh Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho