Larry Ray Coppock in Oklahoma City - Perfusionist
Larry Ray Coppock - NPI 1649334863
Larry Ray Coppock is a Perfusionist in Oklahoma City, Oklahoma. Larry Ray Coppock practices all healthcare services and medical treatments related to Perfusionist. The NPI Number for Larry Ray Coppock is 1649334863. The last update date is 2011-08-24.
Larry Ray Coppock's current location address is Po Box 12815, Oklahoma City, Oklahoma. You can contact this provider via phone number 4056045613 and fax number 4056013750. The mailing address for Larry Ray Coppock is Po Box 12815, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Ray Coppock |
|---|---|
| Address | Po Box 12815, Oklahoma City, Oklahoma |
| Phone Number | 4056045613 |
| Fax Number | 4056013750 |
| Sole Proprietor | N |
| Credentials | CCP LP RN |
NPI Number Detail
| NPI Number | 1649334863 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2011-08-24 |
Provider Mailing Address Detail
| Address | Po Box 12815 |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731572815 |
| Phone Number | 4056045613 |
| Fax Number | 4056013750 |
Provider's Primary Taxonomy Detail
| Speciality | Perfusionist |
|---|---|
| Taxonomy | 242T00000X |
| Licence No | LP7 |
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Definition: A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 731213482002 | BCBS | ||
| 5993501 | AETNA |
Post Comment/ Review Below
What is the Larry Ray Coppock's 1649334863?
The Larry Ray Coppock's NPI (National Provider Identifier) Number is 1649334863. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Larry Ray Coppock's physical address?
The Larry Ray Coppock is physically located at Po Box 12815, in the city of Oklahoma City, OK, with the postal code 731572815.
What is Larry Ray Coppock's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Ray Coppock's specialized field of practice is Perfusionist, and the corresponding taxonomy code that categorizes this area of specialization is 242T00000X.
When was the Larry Ray Coppock's 1649334863 issued?
The Larry Ray Coppock's 1649334863 was issued on 2006-12-21.
As of what date were the details related to Larry Ray Coppock most recently updated or revised?
The information pertaining to Larry Ray Coppock, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-24.
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