Organization
PHYSICIANS PRACTICE ORGANIZATION
Active
Other names
Koopman Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R ALESSI DO (PRESIDENT)
(812) 988-2223
Entity
Organization
Contact information
Practice address
3581 CENTRAL AVE, COLUMBUS, IN 47203-2036
(812) 372-0137
(812) 372-1304
Mailing address
3581 CENTRAL AVE, COLUMBUS, IN 47203-2036
(812) 372-0137
(812) 372-1304
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100176320A
—
IN
Enumeration date
09/12/2006
Last updated
11/24/2008
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