NPI 1720728496 · live from the CMS NPI Registry
Caleb Edward Cooper, DO
Radiology, Diagnostic Radiology in Oklahoma City, OK. National Provider Identifier 1720728496, active.
NPI record
| NPI | 1720728496 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1200 Everett Dr, Oklahoma City, OK 73104 |
| Practice phone | 405-271-5125 |
| Mailing address | 250 Park St, Bowling Green, KY 42101 |
| Enumerated | March 31, 2022 |
| Last updated | June 30, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 8082 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.