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Jonah Cooper
NPI 1669291365 · on the registry since 2024 · sole proprietor
Practice
- Address
- 2537 W State St Ste 200
Boise, ID 83702 - Phone
- (208) 336-0895
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163WC0200X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-30
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