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Individual
DR. DANIEL LEROY COOGAN
Active
Individual
DR. DANIEL LEROY COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192
GATEWAY EDI
MO
01
—
109583
HEALTHLINK
MO
01
—
19328
ABCBS
MO
01
—
289020
GHP
MO
01
—
4409509
UHC
MO
01
—
6593160002
CIGNA
MO
05
—
756872206
—
MO
Enumeration date
12/11/2006
Last updated
02/14/2023
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