Individual
DR. RANDALL ALLEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1723 E BRISTOL ST, ELKHART, IN 46514-3968
(574) 264-7180
(574) 264-1875
Mailing address
1723 E BRISTOL ST, ELKHART, IN 46514-3968
(574) 264-7180
(574) 264-1875
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000384A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112180
—
IN
01
—
480010783
PALMETTO GBA-RAILROAD MEDICARE
IN
Enumeration date
01/03/2006
Last updated
01/27/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us