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GRIFFIN STALLARD KOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-4835
(603) 356-2604
Mailing address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-4835
(603) 356-2604

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001237895
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
114103-23
NH
367500000X
Certified Registered Nurse Anesthetist
D-161938
IA

Other

Enumeration date
09/28/2020
Last updated
05/01/2025
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