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1770589558
SAMPUNARAO KOPPULA
PHOENIX, AZ
NPI
1770589558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 13707)
Enumeration Date
2005-06-24
Last Update Date
2007-12-12
Business Address
-- SAMPUNARAO KOPPULA M.D.
4441 E MCDOWELL RD # 101
PHOENIX, AZ 85008-4503
Phone number: 602-273-6770
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Mailing Address
-- SAMPUNARAO KOPPULA M.D.
PO BOX 29211
PHOENIX, AZ 85038-9211
Phone number: 602-273-6770
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