THERESA KOPPAL

GILBERT, AZ
NPI1033510508
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  5748)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: AZ  5748)
Enumeration Date2014-09-15
Last Update Date2022-07-29
Business Address
THERESA KOPPAL PA-C
2940 E BANNER GATEWAY DR STE 200-250
GILBERT, AZ 85234-2168
Phone number: 602-548-5444
Mailing Address
THERESA KOPPAL PA-C
PO BOX 80217
PHOENIX, AZ 85060-0217
Phone number: 602-385-2115