NPI 1790912608

Brian David Cooprider, IDMT

Practitioner Independent Duty Medical Technicians Bellevue, NE

Practice location

Address: 2501 Capehart Road, Bellevue, NE 68113-2160
Phone: (402) 294-7333
Mailing address: 2501 Capehart Road, Apo, AP 68113-2160

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in Nebraska →

Registry record

NPI: 1790912608
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jun 2009
Record last updated: 18 Jun 2009

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.