Individual
GARY D COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 NE 98TH ST, KANSAS CITY, MO 64155
(816) 734-5289
Mailing address
1501 NE 98TH ST, KANSAS CITY, MO 64155
(816) 734-5289
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R3940
MO
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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