Organization
KOPP MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MICHAEL KOPP MD (OWNER)
(251) 633-5155
Entity
Organization
Contact information
Practice address
6720 GRELOT ROAD SUITE A, MOBILE, AL 36695-2676
(251) 633-5155
(251) 633-5125
Mailing address
6720 GRELOT ROAD SUITE A, MOBILE, AL 36695-2676
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30966
AL
Other
Enumeration date
11/02/2015
Last updated
06/01/2021
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