NPI 1912272568
Michael Scot Cooper, IDMT
Practice location
- Address
- 6973 Zuckert Avenue 176th Medical Group, Elmendorf/Anchorage, AK 99506
- Phone
- (907) 551-0435
- Fax
- (907) 551-0431
- Mailing address
- 6973 Zuckert Avenue 176th Medical Group, Jber, AK 99506
Registered specialties
Paramedic
Primary
Registry record
- NPI
- 1912272568
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Mar 2012
- Record last updated
- 15 Mar 2012
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.