Individual
MR. STEVE J KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PC
Contact information
Practice address
40 CAPRI BLVD STE 102, LAKE HAVASU CITY, AZ 86403-5661
(602) 955-1000
(602) 508-4830
Mailing address
2820 N GLASSFORD HILL RD, PRESCOTT VALLEY, AZ 86314-1242
(844) 565-6393
(844) 329-5656
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2340AT
OR
152W00000X
Optometrist
Primary
OPT-001732
AZ
Other
Enumeration date
12/20/2005
Last updated
05/21/2020
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