Cooper A Blum
Cooper A Blum is a Physician Assistant in Gilbert, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.
- Years since qualifying
- 1
- Licensed in
- AZ
- In the registry since
- 2025
Practice location Address checks out
2946 E Banner Gateway DrGilbert, AZ 85234-2165
Phone: (480) 256-6444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 11704 (AZ) |
|---|
Record details
| NPI number | 1649155359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2025 |
| Last updated in NPPES | June 16, 2026 |
| Certification date | June 16, 2026 |
| Mailing address | 2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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Elizabeth Bickle, PA-C
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Thomas Otis Bowen IV, PA-C
2946 E Banner Gateway Dr, Gilbert, AZ 85234-2165 · (480) 256-6444