Individual provider · Type 1 NPI
Leroy Douglass Cooper Jr.
Student in an Organized Health Care Education/Training Program · White Oak, PA
NPI number
1629532502
Active
Practice location
2012 California Ave
White Oak, PA 15131-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
Other student in an organized health care education/training program providers in White Oak
About NPI 1629532502
Leroy Douglass Cooper Jr.'s National Provider Identifier is 1629532502, issued on Jan 25, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in White Oak, PA. The record was last updated on Jan 25, 2019.