Individual
DR. MICHAEL L SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
329 S 38TH ST, MUSKOGEE, OK 74401-4945
(918) 687-9998
(918) 687-4135
Mailing address
329 S 38TH ST, MUSKOGEE, OK 74401-4945
(918) 687-9998
(918) 687-4135
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11682
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100094790A
—
OK
01
—
180000229
RAILROAD MEDICARE
OK
Enumeration date
05/27/2005
Last updated
09/29/2017
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