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Individual

DR. RICHARD LEE COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
10131 S YALE AVE, TULSA, OK 74137-6002
(918) 369-6274
(918) 369-6278
Mailing address
10131 S YALE AVE, TULSA, OK 74137-6002
(918) 299-9779
(918) 609-3520

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3519
OK
208D00000X
General Practice Physician
Primary
3519
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100113930C
OK
Enumeration date
03/25/2006
Last updated
05/24/2022
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