Individual
MRS. SARAH COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA058862
PA
363AS0400X
Surgical Physician Assistant
Primary
C0007625
MD
Other
Enumeration date
03/03/2017
Last updated
06/14/2021
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