Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cooper Nickels, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649893959

Cooper Nickels, DO is a Student in an Organized Health Care Education/Training Program in Flagstaff, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 214-3930
Fax: (928) 214-3882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 269 S Candy Ln, Cottonwood, AZ 86326-4170 — (928) 214-3930

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 010116 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1649893959
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedMay 20, 2020
Last updated in NPPESJuly 3, 2023
Certification dateJuly 1, 2023
Mailing addressPo Box 67, Flagstaff, AZ 86002-0067

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