Individual
REESE JEREL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5342 DUDLEY BLVD BLDG 98, MCCLELLAN, CA 95652-1012
(916) 561-7793
Mailing address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 256-9355
(618) 206-2332
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
3002
NE
225100000X
Physical Therapist
7811204-2402
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2018
Last updated
07/27/2026
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