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Cooper Family Chiropractic

Chiropractor in O Fallon, MO. Organization (NPI-2).

NPI number1144486705
StatusActive
Last updated in NPPESNov 11, 2014

Details

NPI
1144486705
Entity type
Organization (NPI-2)
Legal business name
Cooper Family Chiropractic
Organization subpart
No
Enumeration date
Aug 4, 2008
Last updated
Nov 11, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2000144756MOYes

Practice location

9103 Phoenix Village Pkwy
Suite F
O Fallon, MO 63368-4279

Phone 636-265-2566 · Fax 866-418-4148

Mailing address

9103 Phoenix Village Pkwy
Suite F
O Fallon, MO 63368-4279

Phone 636-265-2566 · Fax 866-418-4148

Authorized official

Marcy Lynn Cooper
Owner
6363799105

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