Individual
DR. COLLAN LEE KOEPPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7825 FAY AVE., SUITE 249, LA JOLLA, CA 92037
(858) 736-4056
Mailing address
7825 FAY AVE., SUITE 249, LA JOLLA, CA 92037
(858) 736-4056
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC31265
CA
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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