Koppenbrink, Walter Edwin
Koppenbrink, Walter Edwin is an individual health care provider with primary practice located at 4350 E Camelback Rd Suite F100, Phoenix AZ 85018-2701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Koppenbrink, Walter Edwin can be contacted via phone (602) 955-8700.Contact Information
Primary practice address
4350 E Camelback Rd Suite F100
Phoenix AZ 85018-2701
Phone: (602) 955-8700
Fax: (602) 553-8142
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 11324 | Arizona |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 11324 | Arizona |
Profile Details
NPI number | 1982660726 |
---|---|
LBN Legal business name | Koppenbrink, Walter Edwin |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2006 |
Last updated | Jan 27th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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