Individual
GRIFFIN STALLARD KOPP
Active
Individual
GRIFFIN STALLARD KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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