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Individual

DR. RICHARD KOOP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2501 W HAPPY VALLEY RD, #32-1050, PHOENIX, AZ 85085-3701
(623) 869-0253
(623) 869-0270
Mailing address
220 N MCKEMY AVE, CHANDLER, AZ 85226-2654
(480) 961-1865
(480) 961-4605

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1067
AZ

Other

Enumeration date
10/05/2005
Last updated
04/29/2014
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