Whalio Doctors

NPI 1093154023

Andrew D Cooper, DO

Practitioner Physical Medicine & Rehabilitation Physician Idaho Falls, ID

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
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence O-1116 (ID)

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.