Individual
DR. MATTHEW CHRISTOPHER COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
2315 HIGHWAY K, O FALLON, MO 63368-8659
(636) 978-6995
Mailing address
2315 HIGHWAY K, O FALLON, MO 63368-8659
(636) 978-6995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000164553
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139372
BLUE CROSS BLUE SHEILD
MO
01
—
38309
GHP-CMR
MO
01
—
4400068
UNITED HEALTHCARE
MO
01
—
441779
HEALTHLINK
MO
Enumeration date
02/03/2007
Last updated
02/25/2015
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