Organization
STANLEY A. KOPP, M.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STANLEY A KOPP M.D. (SOLE PROPRIETOR)
(425) 823-1052
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE, SUITE C-50, KIRKLAND, WA 98034-3027
(425) 823-1052
(425) 899-4243
Mailing address
PO BOX 1302, MUKILTEO, WA 98275-1302
(425) 823-1052
(425) 899-4243
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD25061
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0133957
DEPT. LABOR AND INDUSTRIE
WA
05
—
1109636
—
WA
Enumeration date
09/05/2007
Last updated
05/27/2009
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