Individual
COOPER JOHN FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-4446
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-16654
ID
Other
Enumeration date
04/10/2019
Last updated
09/06/2022
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