Individual
DR. ALAN DAVID COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
116 W MINNESOTA AVE, MCCLOUD, CA 96057
(530) 964-2389
Mailing address
310 E LAKE ST, MOUNT SHASTA, CA 96067-2333
(530) 926-3772
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396885661
—
CA
Enumeration date
02/07/2007
Last updated
08/14/2024
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