Individual
DR. MINDY ELLEN COOPER-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2170 SOUTH AVE, BARTON MEMORIAL HOSPITAL PATHOLOGY, SOUTH LAKE TAHOE, CA 96150
(530) 412-2309
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150
(530) 412-2309
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
12991
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
5336
NV
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G39196
CA
Other
Enumeration date
10/18/2005
Last updated
09/08/2014
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