NPI 1649334863

Larry Ray Coppock, CCPLPRN

Practitioner Perfusionist Oklahoma City, OK

Practice location

Address: 3601 N May Ave Suite C, Oklahoma City, OK 73112-6641
Phone: (405) 604-5613
Fax: (405) 601-3750
Mailing address: PO Box 12815 3601 N May Avenue Suite C, Oklahoma City, OK 73157-2815

Registered specialties (2)

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence LP7 (OK)

Other Perfusionist providers in Oklahoma →

Other Technician

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence LP7 (OK)

Other Technician, Other providers in Oklahoma →

Registry record

NPI: 1649334863
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2006
Record last updated: 24 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.