Individual
DR. PATRICIA MARY KOPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, MC8320, SAN DIEGO, CA 92103-9000
(619) 543-7669
(619) 543-3730
Mailing address
PO BOX 232410, MC8320, SAN DIEGO, CA 92193-2410
(619) 543-5779
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
G75006
CA
207ZI0100X
Immunopathology Physician
G75006
CA
Other
Enumeration date
12/17/2010
Last updated
08/01/2016
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