Search › Oklahoma › 171M00000X
Jake Copeland
NPI 1134900905 · on the registry since 2023 · sole proprietor
Practice
- Address
- 412 S Central Ave
Idabel, OK 74745 - Phone
- (580) 286-2000
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma