Individual
DR. DAVID WILLIAM KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3506
(585) 223-4620
(585) 223-7447
Mailing address
420 CROSS KEYS OFFICE PARK, FAIRPORT, NY 14450-3506
(585) 223-4620
(585) 223-7447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
202063-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018028810001
—
PA
Enumeration date
03/15/2006
Last updated
08/28/2022
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