ESTACIA DIANN COOPER

AHS OKLAHOMA PHYSICIAN GROUP LLC

Dr ESTACIA DIANN COOPER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008.

Contact

AHS OKLAHOMA PHYSICIAN GROUP LLC

701 E MAIN
JENKS
OK
740374316

Tel: 9182982264

ESTACIA DIANN COOPER Information

Npi 1316196959
Pac Id 4981756640
Professional Enrollment Id I20090710000491
Last Name COOPER
First Name ESTACIA
Middle Name DIANN
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AHS OKLAHOMA PHYSICIAN GROUP LLC
Group Practice Pac Id 9436122496
Number Of Group Practice Members 272
Line 1 Street Address 701 E MAIN
Line 2 Street Address
Marker Of Address Line 2 Suppression
City JENKS
State OK
Zip Code 740374316
Phone Number 9182982264
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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