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ANTHONY M COPPOLA DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1467568766

Individual Registrant:
 ANTHONY M COPPOLA DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1830 STATE HIGHWAY 9  DECORAH, IA 52101-7301 US
Tel: 563-382-3140  Fax: --

Contact information for business:
1836 SOUTH AVE  LA CROSSE, WI 54601-5429 US
Tel: 608-782-7300  Fax: --

Registration Information:
NPI: 1467568766
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IA3827
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
IAR7878

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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