Individual
MR. ANDREW CARL COOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 CAMPUS DR, STANFORD, CA 94305-6201
(513) 608-3015
Mailing address
641 CAMPUS DR, STANFORD, CA 94305-6201
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
A0000850
MD
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59123
NATA
—
Enumeration date
07/07/2021
Last updated
02/12/2024
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