Individual
DR. JOHN ALLEN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
40 N KINGSHIGHWAY BLVD APT 13F, SAINT LOUIS, MO 63108-1343
(314) 669-5551
Mailing address
40 N KINGSHIGHWAY BLVD APT 13F, SAINT LOUIS, MO 63108-1343
(314) 669-5551
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2013042707
MO
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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