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DR. ROBERT G KOPITSKY MD

Cardiovascular Disease >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1831182807

Individual Registrant:
DR. ROBERT G KOPITSKY MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3023 N BALLAS RD STE 200D  SAINT LOUIS, MO 63131-2328 US
Tel: 314-996-7272  Fax: --

Contact information for business:
3023 N BALLAS RD STE 200D  SAINT LOUIS, MO 63131-2328 US
Tel: 314-996-7272  Fax: --

Registration Information:
NPI: 1831182807
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
Cardiovascular Disease
MOR4E32
Y207RI0011XAllopathic & Osteopathic Physicians
Internal Medicine
MOR4E32

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RR MEDICARE NUMBER060042993MO01
CCL INDIVDUAL PROVIDER NUMBERMA1080003MO01
MEDICARE PROV ID AREA 99003013185MO01
RR GROUP 01CD6536MO01
CATHLAB RR MCAREP00275849MO01
CCL MEDICARE GROUP NUMBERMA108001
MCARE CCL GROUP NUMBER000047049MO01
MEDICARE PROVIDER ID002012762MO01




HEALTH CARE JOBS MO - Page 1



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