Individual
ELIZABETH ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-4901
(319) 384-8559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001263
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13482
WELLMARK BCBS
IA
Enumeration date
10/06/2005
Last updated
09/03/2021
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