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MR. CORRY ALAN COOPMANS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6064
Mailing address
17873 SUZANNE RIDGE DR, WILDWOOD, MO 63038-1474
(636) 821-1999

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124635
MO

Other

Enumeration date
05/21/2008
Last updated
11/08/2021
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