Timothy Lee Cooper, PA-C

Physician Assistant · Conrad, IA

Individual Active NPI

NPI number 1366427767

Practice location

105 Church
Box 40
Conrad, IA 50621-0040
Phone
(641) 366-2123
Fax
(641) 366-2143

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NPI record

NPI
1366427767
Entity type
Individual (Type 1)
Enumeration date
December 8, 2005
Last updated
July 5, 2022
Certified
July 5, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 001336 IA

Mailing address

105 Church Street
Box 40
Conrad, IA 50621
Phone
(641) 366-2123
Fax
(641) 366-2143

About Timothy Cooper

Timothy Lee Cooper, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 105 Church, Box 40, Conrad, IA 50621-0040. The NPI number 1366427767 was assigned on December 8, 2005 and the record was last updated on July 5, 2022.

Timothy Cooper lists a license in the registry: #001336 (IA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Timothy Lee Cooper, PA-C?

The NPI number is 1366427767.

What is the phone number of Timothy Cooper?

The phone number listed for the practice location is (641) 366-2123.

Where is Timothy Cooper located?

105 Church, Box 40, Conrad, IA 50621-0040.

What is the taxonomy code for Timothy Cooper?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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