Individual
ANTHONY A KOPECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
111 COLCHESTER AVE, MCCLURE 1 RADIOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3663
Mailing address
111 COLCHESTER AVE, MCCLURE 1 RADIOLOGY, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
055-0030936
VT
Other
Enumeration date
04/09/2007
Last updated
11/13/2013
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