Individual
DR. PETER KOOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
303 N KEENE ST STE 301, COLUMBIA, MO 65201-8053
(573) 882-8000
(573) 882-6600
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007021706
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204595003
—
MO
Enumeration date
11/29/2005
Last updated
12/09/2024
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