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Organization
OAKMONT MEDICAL LLC
Active
Organization
OAKMONT MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W COOPER DO (MEMBER)
(419) 874-8745
Entity
Organization
Contact information
Practice address
1103 VILLAGE SQUARE DR, SUITE 100, PERRYSBURG, OH 43551-1783
(419) 874-8745
(419) 874-8748
Mailing address
1103 VILLAGE SQUARE DR, SUITE 100, PERRYSBURG, OH 43551-1783
(419) 874-8745
(419) 874-8748
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3895
OH
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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