Individual
MR. GREGORY SOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-2045
(541) 267-5151
Mailing address
2180 WESTERN MEADOWS DR, FLUSHING, MI 48433-9447
(810) 347-1881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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