STACY COOPER

BLACKFOOT, ID
NPI1518157544
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA648)
Enumeration Date2007-07-26
Last Update Date2009-05-01
Business Address
Mrs. STACY COOPER PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
Mailing Address
Mrs. STACY COOPER PA-C
98 POPLAR ST
BLACKFOOT, ID 83221-1758
Phone number: 208-785-4100
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