AVERY KOPACZ

TACOMA, WA
NPI1437805264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: NE  36007)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-02
Last Update Date2023-10-24
Business Address
AVERY KOPACZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1420
Mailing Address
AVERY KOPACZ MD
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1420