Whalio Doctors

NPI 1053563957

Brian K Cooper, PA

Practitioner Physician Assistant Wahpeton, ND

Practice location

Address
275 11th St S, Wahpeton, ND 58075-4655
Phone
(701) 642-2000
Mailing address
1702 University Dr S, Fargo, ND 58103-4940

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PAC0404 (ND)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Registry record

NPI
1053563957
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Oct 2008
Record last updated
21 Jul 2022

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.