Individual
CAROLINE ANNE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3586
(303) 440-3200
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007170
CO
363A00000X
Physician Assistant
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/18/2021
Last updated
10/24/2022
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