Individual
DR. ROBERT COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-9729
(417) 820-6471
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
C51241
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
# PENDING
AR BLUE SHIELD #
MO
05
—
# PENDING
—
MO
Enumeration date
05/03/2007
Last updated
05/02/2013
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