Organization
DYNAMIC PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANIE LOPER MD (OWNER)
(580) 916-2494
Entity
Organization
Contact information
Practice address
2200 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
(405) 554-3344
(405) 694-4547
Mailing address
2200 SHADOWLAKE DR, OKLAHOMA CITY, OK 73159-7440
(405) 554-3344
(405) 694-4547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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