Individual
MINDY A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29920
CO
207RN0300X
Nephrology Physician
29920
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039589
LABOR & INDUSTRY
WA
01
—
390005685
RAILROAD MEDICARE
—
05
—
8146748
—
WA
05
—
83606076
—
CO
01
—
CO1543
BLUE SHIELD
WA
01
—
MD3917W
ALASKA MEDICAID
WA
01
—
US1014629
AETNA/USHC SPECIALIST
WA
01
—
US1014663
AETNA/USHC PCP
WA
Enumeration date
07/03/2006
Last updated
02/20/2017
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