| Christian Fletcher Cooper, MD | |
|
101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 | |
| (707) 423-5702 | |
| Not Available |
| Full Name | Christian Fletcher Cooper |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 101 Bodin Cir Bldg 777, Travis Afb, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508839440 | NPI | - | NPPES |
| Entity Name | Southeastern Physician Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Fletcher Cooper, MD 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 Ph: (707) 423-5702 | Christian Fletcher Cooper, MD 101 Bodin Cir Bldg 777, Travis Afb, CA 94535-1809 Ph: (707) 423-5702 |
Cherie J Renaud, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 |
Joseph Cameron Sky, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 |
Mark Derasmo, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7342 |
David James Carlson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-7496 |
Jacob Kjelland, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5129 |
Dr. Samuel Farrell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3000 |
Matthew A Tunzi, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-2300 |