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Individual

DR. SCOTT COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
10439 COMMERCE DR, SUITE 140, CARMEL, IN 46032-7605
(317) 872-9300
(317) 872-9303
Mailing address
10439 COMMERCE DR, SUITE 140, CARMEL, IN 46032-7605
(317) 872-9300
(317) 872-9303

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001336
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000092017
ANTHEM
IN
05
200025570
IN
Enumeration date
11/30/2006
Last updated
06/10/2010
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