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NPI 1942299151

IndividualActive

Jerry Cooper, D.P.M.

NPI 1942299151 · Podiatrist · Idaho Falls, ID

Provider details

NPI number: 1942299151
Entity type: Individual
Primary specialty: PodiatristPodiatric Medicine & Surgery Service Providers
Credential: D.P.M.
Sex: Male
Sole proprietor: Yes
License: P126 (ID)

Practice location

2565 Channing Way

Idaho Falls, ID 83404-7516

Phone: (208) 523-2928

Fax: (208) 523-2962

More ID providers

Mailing address

2565 Channing Way

Idaho Falls, ID 83404-7516

Registry dates

Enumerated: 2005-10-19
Last updated: 2013-06-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jerry Cooper, D.P.M. — NPI 1942299151, Idaho Falls, ID | NPI Central