Copper, Tara Conway

Copper, Tara Conway is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Emergency Med, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Copper, Tara Conway can be contacted via phone (314) 454-2341.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Emergency Med Saint Louis MO 63110-1002
Phone: (314) 454-2341
Fax: (314) 454-4345
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2013018492 Missouri
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2013018492 Missouri

Profile Details

NPI number 1417261967
LBN Legal business name Copper, Tara Conway
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2010
Last updated Apr 25th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417261967 NPPES
Missouri MEDICAID 200011427

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