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Individual

PHILLIP COPPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 S EUCLID AVE # CB8054, SAINT LOUIS, MO 63110-1010
(314) 362-6978
(314) 747-4284
Mailing address
600 S EUCLID AVE # CB8054, SAINT LOUIS, MO 63110-1010
(314) 362-6978
(314) 747-4284

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2010019207
MO

Other

Enumeration date
06/25/2010
Last updated
06/25/2010
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