# DANIEL J COOPER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982955183
- **Authorized official:** DANIEL J COOPER DO (OWNER)
- **Authorized official phone:** (916) 983-2193

## Contact information

- **Practice address:** 1561 CREEKSIDE DR STE 150, FOLSOM, CA 95630-3495
- **Practice address phone:** (916) 983-2193
- **Mailing address:** 1561 CREEKSIDE DR STE 150, FOLSOM, CA 95630-3495
- **Mailing address phone:** (916) 983-2193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 020A62180 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012
