IndividualActive
Randall Cooper, D.P.M.
NPI 1811975667 · Foot Surgery Podiatrist · Elkhart, IN
Provider details
- NPI number
- 1811975667
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M.
- Sex
- Male
- Sole proprietor
- No
- License
- 07000384A (IN)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1723 E Bristol St
Elkhart, IN 46514-3968
Phone: (574) 264-7180
Fax: (574) 264-1875
Approximate (ZIP-level) locationGet directions
Mailing address
1723 E Bristol St
Elkhart, IN 46514-3968
Registry dates
- Enumerated
- 2006-01-03
- Last updated
- 2010-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.