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Organization
SAM KOPPULA MD
Active
Organization
SAM KOPPULA MD
Active
Other names
Primary Care Walk In Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KOPPULA M.D. (OWNER)
(480) 946-3800
Entity
Organization
Contact information
Practice address
8102 E MCDOWELL RD, SUITE 1A, SCOTTSDALE, AZ 85257
(480) 946-3800
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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