Individual
DR. SHAMUS LUKE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 RILEY HOSPITAL DRIVE, RI 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
Mailing address
705 RILEY HOSPITAL DRIVE, RI 4205, INDIANAPOLIS, IN 46202-5109
(317) 944-9604
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12013883A
IN
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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