Individual
MOREEN KOPPULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8102 E MCDOWELL RD, STE 2C, SCOTTSDALE, AZ 85257-3809
(480) 272-8411
(480) 361-1435
Mailing address
PO BOX 160, SCOTTSDALE, AZ 85252-0160
(480) 272-8411
(480) 361-1435
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13454
AZ
Other
Enumeration date
06/24/2005
Last updated
02/03/2015
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