Provider Demographics
NPI:1518670181
Name:MORLAN, COOPER (DC)
Entity Type:Individual
Prefix:
First Name:COOPER
Middle Name:
Last Name:MORLAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 GARTH BROOKS BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-7442
Mailing Address - Country:US
Mailing Address - Phone:405-494-0165
Mailing Address - Fax:405-900-7044
Practice Address - Street 1:1612 GARTH BROOKS BLVD STE 115
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-7442
Practice Address - Country:US
Practice Address - Phone:405-494-0165
Practice Address - Fax:405-900-7044
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor