Individual
CALEB EDWARD COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 EVERETT DR, OKLAHOMA CITY, OK 73104-5047
(405) 271-5125
Mailing address
250 PARK ST, BOWLING GREEN, KY 42101-1760
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8082
OK
Other
Enumeration date
03/31/2022
Last updated
06/30/2023
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