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Individual

DR. ROBERT ANTHONY COPPOLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
4035 DIXIE HWY, ELSMERE, KY 41018-1813
(859) 727-6888
(859) 727-6878
Mailing address
1481 ROLLING MEADOWS CT., UNION, KY 41091
(859) 283-0057
(859) 727-6878

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4892
KY

Other

Enumeration date
02/21/2007
Last updated
07/09/2007
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