# DYNAMIC PHYSICIAN GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033077078
- **Authorized official:** JEANIE MARIE LOPER (MD)
- **Authorized official phone:** (580) 916-2494

## Contact information

- **Practice address:** 2200 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
- **Practice address phone:** (405) 554-3344
- **Practice address fax:** (405) 694-4547
- **Mailing address:** 2200 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
- **Mailing address phone:** (405) 342-0143
- **Mailing address fax:** (405) 260-8784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2026
- **Last updated:** 05/28/2026