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Organization

JAMES R KOPP M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES ROBERT KOPP M.D. (PRESIDENT)
(541) 963-9843
Entity
Organization

Contact information

Practice address
710 SUNSET DR STE E, LA GRANDE, OR 97850-1200
(541) 963-9843
(541) 963-8746
Mailing address
710 SUNSET DR STE E, LA GRANDE, OR 97850-1200
(541) 963-9843
(541) 963-8746

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09796
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022801000
BCBSO
OR
05
281394
OR
Enumeration date
03/07/2007
Last updated
07/07/2008
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