Individual
MR. CLAY ARTHURE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
41256 STUART MESA RD, CAMP PENDLETON, CA 92055
(760) 725-5298
Mailing address
41256 STUART MESA RD, CAMP PENDLETON, CA 92055
(760) 725-5298
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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