Individual
MORDECAI KOPPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 W IRON AVE FL 5, SALINA, KS 67401-2600
(785) 827-9526
(785) 827-2854
Mailing address
119 W IRON AVE FL 5, PO BOX 2327, SALINA, KS 67401-2600
(785) 827-9526
(785) 827-2854
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
04-16318
KS
2085N0700X
Neuroradiology Physician
04-16318
KS
2085N0904X
Nuclear Radiology Physician
04-16318
KS
2085R0202X
Diagnostic Radiology Physician
Primary
04-16318
KS
2085U0001X
Diagnostic Ultrasound Physician
04-16318
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088880A
—
KS
Enumeration date
10/13/2006
Last updated
06/09/2008
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