Individual
DR. TRACY SHAWN LOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Mailing address
2990 N SIOUX AVE, CLAREMORE, OK 74017-3700
(918) 342-2622
(918) 342-2641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22482
OK
2084P0800X
Psychiatry Physician
Primary
22482
OK
Other
Enumeration date
08/18/2006
Last updated
06/05/2012
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