Individual
GREGORY LAWRENCE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3397
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2576
CA
Other
Enumeration date
04/10/2007
Last updated
02/14/2012
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