Individual
DR. BRADLEY BENTON COPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7100 W CENTER RD, OMAHA, NE 68106-2700
(402) 506-9127
(402) 261-0243
Mailing address
7100 W CENTER RD, OMAHA, NE 68106-2700
(402) 506-9127
(402) 261-0243
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
315
NE
213ES0103X
Foot & Ankle Surgery Podiatrist
874
IA
Other
Enumeration date
01/05/2009
Last updated
09/10/2015
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