Most Relevant Information
Provider Data
| NPI Number: | 1003182650 |
| Provider Name: | EMILY JANE COOPER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/28/2012 |
| Last Updated: | 08/19/2019 |
Provider Practice Location
3517 W OWEN K GARRIOTT RD STE 4
ENID
OK
737034953
Practice Location Phone/Fax
| Phone: | 5802335553 |
| Fax: | 5802335641 |
Provider Mailing Location
PO BOX 3046
MALVERN
PA
193550746
Provider Mailing Phone/Fax
| Phone: | 5802335553 |
| Fax: |