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Individual

DR. STEVEN M SOPKIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
1090 N CHURCH ST, HAZLETON, PA 18202-1480
(570) 579-1880
(570) 655-3293
Mailing address
14 FORDHAM RD, WILKES BARRE, PA 18702-7324
(570) 677-7072

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
N006068
NY
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
SC005888
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101909002 0001
PA
01
106966
GEISINGER
PA
01
SO1986433
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/30/2006
Last updated
05/19/2021
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