Organization
KOPP FAMILY FOOT CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN JOSEPH KOPP DPM (OWNER)
(814) 266-6124
Entity
Organization
Contact information
Practice address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(814) 266-6124
Mailing address
303 BUDFIELD ST, JOHNSTOWN, PA 15904-3213
(814) 266-6124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003740L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015131540001
—
PA
01
—
08192
BLUE CROSS
PA
Enumeration date
03/30/2007
Last updated
08/22/2020
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