MR. Timothy Lee Cooper, PA-C

NPI #1366427767 in Conrad, Iowa

Provider Information

NPI Number: 1366427767
Entity Type: Individual
Name: MR. Timothy Lee Cooper, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 8, 2005
Last Updated: Jul 5, 2022

Practice Location

Address: 105 CHURCH
Address 2: BOX 40
City: Conrad
State: Iowa
ZIP Code: 50621-0040
Phone: (641) 366-2123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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