Individual
DR. BERNARD SZOPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 62220-1900
(618) 277-7400
(618) 277-7422
Mailing address
340 W LINCOLN ST, SUITE 500, BELLEVILLE, IL 62220-1900
(618) 277-7400
(618) 277-7422
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036114710
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114710
—
IL
Enumeration date
05/02/2006
Last updated
06/18/2012
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