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Individual

DR. ROBERT G KOPITSKY

Active
Find providers by NPI
Individual

DR. ROBERT G KOPITSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
R4E32
MO
207RI0011X
Interventional Cardiology Physician
Primary
R4E32
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000047049
MCARE CCL GROUP NUMBER
MO
01
002012762
MEDICARE PROVIDER ID
MO
01
003013185
MEDICARE PROV ID AREA 99
MO
01
060042993
RR MEDICARE NUMBER
MO
01
CD6536
RR GROUP 01
MO
01
MA1080
CCL MEDICARE GROUP NUMBER
01
MA1080003
CCL INDIVDUAL PROVIDER NUMBER
MO
01
P00275849
CATHLAB RR MCARE
MO
Enumeration date
08/25/2005
Last updated
03/19/2021
Update your record

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