Individual
MR. FRANK T COPPOLINO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP
Contact information
Practice address
5425 REGENCY WOODS MNR, IMPERIAL, MO 63052-1971
(812) 589-2069
Mailing address
5425 REGENCY WOODS MNR, IMPERIAL, MO 63052-1971
(812) 589-2069
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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