Individual provider · Type 1 NPI
McKenzie Mae Cooper
Medical Physician Assistant · Marshalltown, IA
NPI number
1487150991
Active
Practice location
3 S 4th Ave
Marshalltown, IA 50158-2924
Mailing address
7071 Carey Ct
Johnston, IA 50131-2407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 090944 (IA) |
Medical Physician Assistant: Definition to come...
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About NPI 1487150991
McKenzie Mae Cooper's National Provider Identifier is 1487150991, issued on Apr 3, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Marshalltown, IA. The record was last updated on Apr 3, 2018.