Andrew Carl Cooman
Specialist/Technologist, Athletic Trainer in Stanford, CA. Individual provider (NPI-1).
NPI number1437720844
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1437720844
- Entity type
- Individual (NPI-1)
- Name
- Mr. Andrew Carl Cooman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 7, 2021
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A0000850 | MD |
Practice location
641 Campus DrStanford, CA 94305-6201
Phone 513-608-3015
Mailing address
641 Campus DrStanford, CA 94305-6201
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