Individual
ZACHARY ADAM COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19933 GREENLEY RD # C, SONORA, CA 95370
(209) 536-0505
(209) 536-0506
Mailing address
19933 GREENLEY RD # C, SONORA, CA 95370
(209) 536-0505
(209) 536-0506
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A72373
CA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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