Individual
JAYSON KOPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10121 PINE AVE, TRUCKEE, CA 96161-4835
(530) 587-6011
Mailing address
10121 PINE AVE, TRUCKEE, CA 96161-4835
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A154116
CA
Other
Enumeration date
03/22/2016
Last updated
12/11/2022
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