Individual
WILLIAM T COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 W TRUMAN RD, SUITE 108, INDEPENDENCE, MO 64050-3436
(816) 461-3131
(816) 461-1662
Mailing address
1515 W TRUMAN RD, SUITE 108, INDEPENDENCE, MO 64050-3436
(816) 461-3131
(816) 461-1662
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1318997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913553202
—
MO
Enumeration date
02/01/2006
Last updated
12/17/2019
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