Organization
IMBER COPPINGER, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMBER C COPPINGER D.O. (OWNER/PHYSICIAN)
(740) 594-9355
Entity
Organization
Contact information
Practice address
410 E STATE ST, ATHENS, OH 45701-1819
(740) 594-9355
(740) 594-1110
Mailing address
410 E STATE ST, ATHENS, OH 45701-1819
(740) 594-9355
(740) 594-1110
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
34007281
OH
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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