Individual
RYAN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
403 1ST ST SE, BELMOND MEDICAL CENTER, BELMOND, IA 50421-1201
(641) 444-3223
(641) 444-4895
Mailing address
403 1ST ST SE, BELMOND MEDICAL CENTER, BELMOND, IA 50421-1201
(641) 444-3223
(641) 444-4896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3404
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0428086
—
IA
Enumeration date
09/19/2005
Last updated
03/08/2012
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