Individual
DR. JOAN KOPRIVNIKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1410 W 13TH ST, PUEBLO, CO 81003-1961
(719) 583-5540
(719) 583-5525
Mailing address
1410 W 13TH ST, PUEBLO, CO 81003-1961
(719) 583-5540
(719) 583-5525
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
41316
CO
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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