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Organization

WALTER E KOPPENBRINK MD LTD

Active
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Organization

WALTER E KOPPENBRINK MD LTD

Active
Other names
Koppenbrink Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN KOPPENBRINK (PRACTICE MANAGER/CORP SEC)
(602) 228-4051
Entity
Organization

Contact information

Practice address
4350 E CAMELBACK RD, STE F-100, PHOENIX, AZ 85018-2701
(602) 955-8700
(602) 553-8142
Mailing address
4350 E CAMELBACK RD, STE F-100, PHOENIX, AZ 85018-2701
(602) 955-8700
(602) 553-8142

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11324
AZ
207RG0100X
Gastroenterology Physician
Primary
11324
AZ

Other

Enumeration date
09/08/2008
Last updated
11/03/2015
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