Trace Cooper, DO STUDENT

NPI #1326890096 in Meridian, Idaho

Provider Information

NPI Number
1326890096
Entity Type
Individual
Name
Trace Cooper, DO STUDENT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
DO STUDENT
Enumeration Date
Apr 4, 2024
Last Updated
Apr 4, 2024

Practice Location

Address
1401 E CENTRAL DR
State
Idaho
ZIP Code
83642-8046
Phone
(208) 795-4266

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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