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Individual

MISS JORDAN ELIZABETH KOPF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-7777
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DOS-2132
HI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/13/2019
Last updated
08/07/2023
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