Individual
DR. BRIAN JOSEPH KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(181) 426-6612
Mailing address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(181) 426-6612
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001513154001
—
PA
Enumeration date
09/07/2006
Last updated
07/08/2007
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