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Individual

MICHAEL COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3100 MEDICAL PKWY, 100, CLAREMORE, OK 74017-1088
(918) 341-1000
(918) 293-3141
Mailing address
1515 N HARVARD AVE, SUITE E, TULSA, OK 74115-4957
(918) 832-6049
(918) 832-6055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12946
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100119730A
OK
Enumeration date
03/28/2006
Last updated
02/17/2011
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