Individual
JOSEPH WILLIAM COPPOLA JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
753 8TH ST SW, ALTOONA, IA 50009
(515) 967-4252
(515) 967-6652
Mailing address
753 8TH ST SW, ALTOONA, IA 50009
(515) 967-4252
(515) 967-6652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2339
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299024
—
IA
Enumeration date
02/24/2006
Last updated
07/08/2007
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