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Goto Cooper
NPI 1164213179 · on the registry since 2025
Practice
- Address
- 9950 Bruceville Rd Apt 123
Elk Grove, CA 95757 - Phone
- (724) 931-1561
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Male
- Record last updated
- 2025-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California