Individual
MCKENZIE MAE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 S 4TH AVE, MARSHALLTOWN, IA 50158-2924
(515) 326-0385
Mailing address
7071 CAREY CT, JOHNSTON, IA 50131-2407
(515) 326-0385
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
090944
IA
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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