Gary Cooper, MD

NPI 1487653663 · on the registry since 2005

Practice

Address: 2175 South Ave
South Lake Tahoe, CA 96150
Phone: (530) 543-5685
Fax: (530) 544-2503
Organisation at this address: Sierra Family Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 207R00000X
207R00000X
Also registered as: 207RR0500X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California