NPI 1093154023
Andrew D Cooper, DO
Practice location
- Address
- 2635 Channing Way, Idaho Falls, ID 83404-7518
- Phone
- (208) 535-4343
- Fax
- (208) 535-4344
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1093154023
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Jun 2013
- Record last updated
- 26 Sep 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.