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Organization
KOPP FAMILY FOOT CARE, PC
Active
Organization
KOPP FAMILY FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH KOPP DPM (OWNER)
(814) 266-6124
Entity
Organization
Contact information
Practice address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(814) 266-6124
Mailing address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(814) 266-6124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015131540001
—
PA
01
—
08192
BLUE CROSS
PA
Enumeration date
03/30/2007
Last updated
08/22/2020
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