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1093154023
ANDREW D COOPER
IDAHO FALLS, ID
NPI
1093154023
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: ID O-1116)
Enumeration Date
2013-06-24
Last Update Date
2022-09-26
Business Address
Dr. ANDREW D COOPER D.O
2635 CHANNING WAY
IDAHO FALLS, ID 83404-7518
Phone number: 208-535-4343
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Mailing Address
Dr. ANDREW D COOPER D.O
2635 CHANNING WAY
IDAHO FALLS, ID 83404-7518
Phone number: 208-535-4343
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