Individual provider · Type 1 NPI

Melissa Lynn Cooper, PA-C

Surgical Physician Assistant · Merrillville, IN

NPI number 1992088199 Active

Practice location

9001 Broadway
Merrillville, IN 46410-7041

Call (219) 795-3360 Map

Fax (219) 756-6500

Mailing address

1040 Sierra Dr, Ste 400
Greenwood, IN 46143-7241

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X99048717A (IN)
Surgical Physician Assistant Primary 363AS0400X10001330A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1992088199

Melissa Lynn Cooper, PA-C's National Provider Identifier is 1992088199, issued on Sep 23, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Merrillville, IN. The record was last updated on Jun 24, 2016.