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Individual

DR. ROBERT SCOTT HOOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPH.

Contact information

Practice address
5915 W MEMORIAL RD, SUITE 110, OKLAHOMA CITY, OK 73142-2015
(405) 773-2300
(405) 621-5440
Mailing address
16212 STILLMEADOWS DR, EDMOND, OK 73013-9410
(405) 773-2300
(405) 621-5440

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11392
OK
1835X0200X
Oncology Pharmacist
11392
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11392
OKLAHOMA STATE BOARD OF PHARMACY LICENSE
OK
Enumeration date
06/04/2010
Last updated
06/04/2010
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