Individual
DR. DAVID H SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016
(765) 646-8243
(765) 646-8655
Mailing address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 646-8243
(765) 646-8655
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
01036847A
IN
207P00000X
Emergency Medicine Physician
Primary
01036847A
IN
207ZM0300X
Medical Microbiology Physician
01036847A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01036847A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013230
MPLAN PATHOLOGY GROUP
IN
01
—
000000083417
ANTHEM PATHOLOGY GROUP
IN
01
—
020434700
BLACK LUNG PATHOLOGY GRP
IN
05
—
100332950
—
IN
01
—
2099554
OHIO MEDICAID
IN
01
—
6470
PHY HEALTH PLAN PATH GROU
IN
01
—
930126124
MEDICARE RR
IN
Enumeration date
06/17/2005
Last updated
03/28/2022
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