NPI | 1588812028 |
---|---|
Doing Business As | KOPPENBRINK INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JOAN KOPPENBRINK Practice Manager/Corp Sec 602-228-4051 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 11324) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 11324) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2015-11-03 |