Individual
DR. WILLIAM KOOPMANS SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 UPTOWN BLVD NE, SUITE 308, ALBUQUERQUE, NM 87110-4148
(505) 878-0192
(505) 888-6000
Mailing address
6000 UPTOWN BLVD NE, SUITE 308, ALBUQUERQUE, NM 87110-4148
(505) 878-0192
(505) 888-6000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11010
NV
207R00000X
Internal Medicine Physician
93406
NM
207R00000X
Internal Medicine Physician
G30330
CA
2084P0800X
Psychiatry Physician
11010
NV
2084P0800X
Psychiatry Physician
Primary
50927
AZ
2084P0800X
Psychiatry Physician
93406
NM
2084P0800X
Psychiatry Physician
G30330
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R9183
—
NM
Enumeration date
01/30/2007
Last updated
01/11/2018
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