Individual
ALLYSA M. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3447
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3003-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205182078
—
WI
Enumeration date
07/31/2012
Last updated
02/21/2025
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