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Individual

DR. DONALD L. COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
700 W 7TH AVE, SUITE 103, BRISTOW, OK 74010-2302
(918) 367-5531
(918) 367-1747
Mailing address
700 W 7TH AVE, SUITE 103, BRISTOW, OK 74010-2302
(918) 367-5531
(918) 367-1747

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1938
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100100320C
OK
Enumeration date
07/27/2006
Last updated
05/01/2014
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