Individual
ANDREW COOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 COPPER LAKES BLVD, GROVER, MO 63040-1920
(217) 737-1400
Mailing address
340 COPPER LAKES BLVD, GROVER, MO 63040-1920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2019020951
MO
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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