Individual
MATTHEW KOPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6351 E BROADWAY BLVD STE 115, TUCSON, AZ 85710-3510
(520) 467-4457
Mailing address
6351 E BROADWAY BLVD STE 115, TUCSON, AZ 85710-3510
(204) 674-4575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002588
AZ
Other
Enumeration date
05/26/2022
Last updated
10/03/2022
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