Individual
CROSBY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1201 HERITAGE CIR, PAWNEE, OK 74058-3744
(918) 762-2517
Mailing address
215 S LENA AVE TRLR 13, TAHLEQUAH, OK 74464-3367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3215
OK
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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