Whalio Doctors

NPI 1003199068

Cooper L Rendon, PAC

Practitioner Occupational Medicine Physician Inver Grove Heights, MN

Practice location

Address
7635 Addisen Path, Inver Grove Heights, MN 55077-4108
Phone
(805) 698-8480

Registered specialties (3)

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 11671 (MN)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-004146 (IL)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 11671 (MN)

Registry record

NPI
1003199068
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Sep 2011
Record last updated
2 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.