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Individual

DR. CAMERON KOPATZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1825 CENTRAL PARK DR., STEAMBOAT SPRINGS, CO 80477
(970) 879-7317
(970) 879-5895
Mailing address
PO BOX 773570, STEAMBOAT SPRINGS, CO 80477-3570
(970) 879-7371
(970) 879-5895

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17055
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48-0196590
TAX ID
Enumeration date
05/23/2013
Last updated
05/23/2013
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