Individual
ANGELA M COOPER
Active
Individual
ANGELA M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
000909
IA
363A00000X
Physician Assistant
292623
WI
363AM0700X
Medical Physician Assistant
Primary
00909
IA
Other
Enumeration date
11/30/2005
Last updated
09/28/2015
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