Individual
JAMES R. KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8750
Mailing address
PO BOX 71183, CHARLOTTE, NC 28272-1183
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101055778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217787256
TRICARE
VA
01
—
6688-0027
CAREFIRST
VA
05
—
7213760
—
VA
05
—
7237731
—
VA
05
—
7237740
—
VA
05
—
7237758
—
VA
05
—
7247541
—
VA
Enumeration date
01/19/2006
Last updated
06/09/2025
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