Healthcare Provider Details

I. General information

NPI: 1376511204
Provider Name (Legal Business Name): FRANKLIN D COOPER II DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2006
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 12TH AVE NW SUITE F
ARDMORE OK
73401-1227
US

IV. Provider business mailing address

2002 12TH AVE NW SUITE F
ARDMORE OK
73401-1227
US

V. Phone/Fax

Practice location:
  • Phone: 580-223-0718
  • Fax: 580-223-0719
Mailing address:
  • Phone: 580-223-0718
  • Fax: 580-223-0719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number241
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: