NPI 1932185196 · live from the CMS NPI Registry
John D Cooper, MD
Pediatrics, Adolescent Medicine in Estes Park, CO. National Provider Identifier 1932185196, active.
NPI record
| NPI | 1932185196 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 1950 Redtail Hawk Rd, Estes Park, CO 80517 |
| Practice phone | 970-586-9230 |
| Mailing address | 203 S Rollie Ave, Fort Lupton, CO 80621 |
| Enumerated | December 20, 2005 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Adolescent Medicine primary | 2080A0000X | 15554 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.