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Individual

DR. MATTHEW LAWRENCE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
714 N SENATE AVE, INDIANAPOLIS, IN 46202-3763
(317) 715-6381
Mailing address
793 W STATE ST, COLUMBUS, OH 43222-1551
(614) 234-5000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57014227
OH
2085P0229X
Pediatric Radiology Physician
01072622A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01072622A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201178370
IN
Enumeration date
06/23/2008
Last updated
08/06/2025
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