Individual
PATRICIA KOPPEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Mailing address
1103 W LIBERTY ST, FARMINGTON, MO 63640-1921
(573) 756-6751
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
066543
MO
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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