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Contact Information

TIMOTHY J COOPER, MD
10 HOSPITAL DR
SAINT PETERS, MO63376-1659
 Phone: 636-916-9094
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY J COOPER · (Male)

NPI # 1558358838
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2005
Last updated 09/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 112414
  • MO Medicaid 208724807
Hospital affiliation(s)
  • BARNES-JEWISH ST PETERS HOSPITAL - (Acute Care)
    10 HOSPITAL DR
    SAINT PETERS, MO 63376
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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