| Daniel J Cooper | |
|
1561 Creekside Dr Ste 150 Folsom CA 95630-3495 | |
| (916) 983-2193 | |
| Not Available |
| Full Name | Daniel J Cooper |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1561 Creekside Dr Ste 150, Folsom, California |
| Authorized Official Name and Position | Daniel J Cooper (OWNER) |
| Authorized Official Contact | 9169832193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J Cooper 1561 Creekside Dr Ste 150 Folsom CA 95630-3495 Ph: (916) 983-2193 | Daniel J Cooper 1561 Creekside Dr Ste 150 Folsom CA 95630-3495 Ph: (916) 983-2193 |
| NPI Number | 1982955183 |
|---|---|
| Provider Enumeration Date | 09/27/2012 |
| Last Update Date | 09/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982955183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 020A62180 (California) | Primary |
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