Organization
KOPPENHOEFER WUNDER RAY MDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON M KOPPENHOEFER M.D. (PRESIDENT)
(513) 792-5600
Entity
Organization
Contact information
Practice address
8333 MONTGOMERY RD, CINCINNATI, OH 45236-2227
(513) 792-5600
(513) 792-5604
Mailing address
8333 MONTGOMERY RD, CINCINNATI, OH 45236-2227
(513) 792-5600
(513) 792-5604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35.37270
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333562
—
OH
Enumeration date
03/31/2008
Last updated
05/15/2008
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