Dr JERRY D COOPER is a male medical professional, specializing in Podiatry. He graduated in 1987 from College Podiatric Medicine And Surgery University Of Osteopathic Medicine And Health Sciences.
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS
ID
834047407
Tel: 2085572700
| Npi | 1942299151 |
| Pac Id | 4082755129 |
| Professional Enrollment Id | I20100111000710 |
| Last Name | COOPER |
| First Name | JERRY |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | COLLEGE PODIATRIC MEDICINE AND SURGERY UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1987 |
| Primary Specialty | PODIATRY |
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| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Group Practice Pac Id | 4486562774 |
| Number Of Group Practice Members | 110 |
| Line 1 Street Address | 2325 CORONADO ST |
| Line 2 Street Address | |
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| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047407 |
| Phone Number | 2085572700 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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