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NPI Code Detail

MEDICARE: EMMA THERESE COOPER MD

MEDICARE: EMMA THERESE COOPER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician2025028044MO

General Provider Information

NPI Number : 1861125387
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA THERESE COOPER MD
Provider Business Mailing Address
First Line : PO BOX 843966
Second Line :
City : KANSAS CITY
State : MO
Zip : 64184-3966
Country : US
Telephone Number : 573-884-3300
Fax Number : 573-884-0943
Provider Business Practice Location Address
First Line : 7115 E SAINT CHARLES RD
Second Line :
City : COLUMBIA
State : MO
Zip : 65202-0196
Country : US
Telephone Number : 573-884-6851
Fax Number : 573-884-0293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2022
Last Update Date : 04/09/2026

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