Individual
JOHN MAXWELL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4640 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 422-4336
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07001360A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
04/04/2018
Last updated
11/09/2021
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