Individual
ROBERT W KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(928) 693-6580
Mailing address
PO BOX 7207, LOVELAND, CO 80537-0207
(970) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203852
—
AZ
Enumeration date
07/31/2006
Last updated
01/12/2012
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