Individual
GREGORY EUGENE COONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 NE 11TH ST, OKLAHOMA CITY, OK 73117-2605
(405) 230-1158
Mailing address
1900 RENAISSANCE DR APT 1416, NORMAN, OK 73071-1580
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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