Individual
DR. DANIEL LEROY COOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
235 JUNGERMANN RD, SUITE 209, SAINT PETERS, MO 63376-5364
(636) 928-7387
Mailing address
235 JUNGERMANN RD, SUITE 209, SAINT PETERS, MO 63376-5364
(636) 928-7387
(636) 928-1269
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005306
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0192
GATEWAY EDI
MO
01
—
109583
HEALTHLINK
MO
01
—
19328
ABCBS
MO
01
—
289020
GHP
MO
01
—
4409509
UHC
MO
01
—
6593160002
CIGNA
MO
05
—
756872206
—
MO
Enumeration date
12/11/2006
Last updated
02/14/2023
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