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Organization

KOPOLOW & GIRISGEN PROFESSIONAL CORPORATION

Active
Other names
Kopolow & Girisgen OD PC
Organization subpart
No

Provider details

NPI number
Authorized official
STEVE T GIRISGEN (OWNER/OPTOMETRIST)
(702) 275-5229
Entity
Organization

Contact information

Practice address
5465 MEADOWOOD MALL CIR, RENO, NV 89502-6710
(702) 341-7254
Mailing address
4045 SPENCER ST STE A59, LAS VEGAS, NV 89119-9311

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518904622
NV
Enumeration date
02/08/2018
Last updated
05/06/2020
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