Individual
MICHAEL LEO COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 CARONDELET DR STE 308, KANSAS CITY, MO 64114-4823
(816) 942-5516
Mailing address
440 TERRACE TRL E, LAKE QUIVIRA, KS 66217-8505
(913) 268-5068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R4834
MO
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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