REESE JEREL COOPER

O FALLON, IL
NPI1831691948
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: NE  3002)
Additional Taxonomies171000000X Military Health Care Provider
390200000X Student in an Organized Health Care Education/Training Program
225100000X Physical Therapist
(Licence: UT  7811204-2402)
Enumeration Date2018-03-05
Last Update Date2026-01-14
Business Address
REESE JEREL COOPER DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-256-9355
Mailing Address
REESE JEREL COOPER DO
3 SAINT ELIZABETH BLVD STE 4000
O FALLON, IL 62269-1284
Phone number: 618-256-9355
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