Individual
DR. THOMAS PATRICK POEPPING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, BACH - DEPT OF ORTHOPEDICS, FORT CAMPBELL, KY 42223-5318
(270) 798-8375
Mailing address
837 GLASTONBURY CT, CLARKSVILLE, TN 37043-5944
(931) 368-9357
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36-107526
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01197599
RAILROAD MEDICARE
IN
Enumeration date
01/05/2006
Last updated
09/20/2013
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