Individual
MISS TEETHENA COMEKO COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8580
(317) 392-3211
(317) 398-1851
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01078084A
IN
207L00000X
Anesthesiology Physician
125.056191
IL
Other
Enumeration date
07/15/2011
Last updated
09/27/2024
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