Individual
COOPER STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
507 E 16TH ST STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301
Mailing address
507 E 16TH ST STE 1, WELLINGTON, KS 67152-2828
(620) 326-3301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-40452
KS
Other
Enumeration date
05/26/2016
Last updated
08/25/2020
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