Individual
DR. WALTER EDWIN KOPPENBRINK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4350 E CAMELBACK RD, SUITE F100, PHOENIX, AZ 85018-2701
(602) 955-8700
(602) 553-8142
Mailing address
4350 E CAMELBACK RD, SUITE F100, PHOENIX, AZ 85018-2701
(602) 955-8700
(602) 553-8142
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11324
AZ
207RG0100X
Gastroenterology Physician
11324
AZ
Other
Enumeration date
04/21/2006
Last updated
01/27/2015
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