Individual provider · Type 1 NPI

Cooper Gray

Student in an Organized Health Care Education/Training Program · Laramie, WY

NPI number 1053217265 Active

Practice location

618 Ord St
Laramie, WY 82070-4546

Call (307) 399-0796 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053217265

Cooper Gray's National Provider Identifier is 1053217265, issued on Oct 15, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Laramie, WY. The record was last updated on Oct 15, 2026.