Individual
MATTHEW DUANE COPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1014 SAINT CLAIR BLVD STE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(225) 743-2010
Mailing address
1014 SAINT CLAIR BLVD STE 1020, GONZALES, LA 70737-5027
(225) 743-2000
(225) 743-2010
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO.000290
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992983092
GROUP NPI
LA
Enumeration date
06/21/2007
Last updated
12/17/2020
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