LARRY J COPPOLA

JOHNSTON, IA
NPI1922073022
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IA  02453)
Enumeration Date2006-02-22
Last Update Date2015-11-17
Business Address
-- LARRY J COPPOLA DO
5731 GREENDALE RD SUITE 100
JOHNSTON, IA 50131-1593
Phone number: 515-270-1000
Mailing Address
-- LARRY J COPPOLA DO
5731 GREENDALE RD SUITE 100
JOHNSTON, IA 50131-1593
Phone number: 515-270-1000