Organization
SAM KOPPULA MD
Active
Other names
Primary Care Walk In Center
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KOPPULA M.D. (OWNER)
(480) 946-3800
Entity
Organization
Contact information
Practice address
8102 E MCDOWELL RD, SUITE 1A, SCOTTSDALE, AZ 85257
(480) 946-3800
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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