Individual
BRADLEY GAIL COPPESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 851-1000
Mailing address
401 MOANA WAY, PACIFICA, CA 94044-2837
(585) 967-8819
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4187
OH
Other
Enumeration date
02/23/2012
Last updated
02/11/2022
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