Individual
MR. JOHN DAVID EDWARD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640
(573) 756-6751
(573) 756-6807
Mailing address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
(573) 756-6807
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2019005175
MO
Other
Enumeration date
05/07/2015
Last updated
02/26/2021
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