Individual
ROBERT J. COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6114
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6114
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
005468
AZ
2084N0400X
Neurology Physician
DOS-963
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000241026
HMSA BILLING NUMBER
HI
05
—
536013-02
—
HI
Enumeration date
10/09/2006
Last updated
03/31/2014
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