Individual
DR. DANIEL WILLIAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 205-7282
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-16021
ID
207R00000X
Internal Medicine Physician
MRM-1705
ID
208M00000X
Hospitalist Physician
Primary
M-16021
ID
Other
Enumeration date
04/02/2018
Last updated
11/24/2021
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