TRACEY KOPPERUD, D.O.

Obstetrics & Gynecology

Active Individual
NPI: 1437194388

Practice Address

3520 E LOUISE DR
Meridian, ID 83642

Phone: (208) 888-0909

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X Yes O0690 (ID)

Frequently Asked Questions

NPI 1437194388 is the National Provider Identifier for TRACEY KOPPERUD, D.O., a Obstetrics & Gynecology provider located in Meridian, ID. This NPI was enumerated on June 17, 2006.
TRACEY KOPPERUD, D.O. practices at 3520 E LOUISE DR, Meridian, ID 83642.

Quick Facts

NPI
1437194388
Type
Individual
Enumerated
Jun 17, 2006
Last Updated
May 14, 2021

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