Individual
STEFAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 HILLSDALE COURT, INDIANAPOLIS, IN 46250-2040
(317) 621-7740
(317) 621-7608
Mailing address
8180 CLEARVISTA PARKWAY, SUITE 230, INDIANAPOLIS, IN 46256-4649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100270530
—
IN
Enumeration date
10/08/2010
Last updated
10/08/2010
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