DR. Jerry D Cooper, D.P.M.

NPI #1942299151 in Idaho Falls, Idaho

Provider Information

NPI Number: 1942299151
Entity Type: Individual
Name: DR. Jerry D Cooper, D.P.M.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: D.P.M.
Enumeration Date: Oct 19, 2005
Last Updated: Jun 11, 2013

Practice Location

Address: 2565 CHANNING WAY
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7516
Phone: (208) 523-2928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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