Individual
DR. STEPHAN M. COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-5114
Mailing address
300 W HUTCHINGS ST, WINTERSET, IA 50273-2104
(515) 462-2373
(515) 462-5114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20582
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303701
—
IA
01
—
32076
BCBS
IA
Enumeration date
08/31/2006
Last updated
07/08/2007
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