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Organization

DR RICHARD LEE COOPER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LYNZEE WHITE (MEDICAL ASSISTANT)
(918) 299-9779
Entity
Organization

Contact information

Practice address
10131 S YALE AVE STE 200, TULSA, OK 74137-6012
(918) 299-9779
(918) 477-2779
Mailing address
10131 S YALE AVE STE 200, TULSA, OK 74137-6012
(918) 299-9779
(918) 609-3520

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3519
OK
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100113930C
OK
Enumeration date
06/29/2007
Last updated
05/24/2022
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