person
Bryan Matthew Koppa
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1316525199

Bryan Matthew Koppa is a Student in an Organized Health Care Education/Training Program based in El Paso, NC. Bryan Matthew Koppa practices in Winston Salem, NC. The NPI Number for Bryan Matthew Koppa is 1316525199 and holds a License No. (North Carolina).

The current practice location address for Bryan Matthew Koppa is 1 Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-3182.

Location: 1 Medical Center Blvd, Winston Salem, NC, 79902-1206
person
Provider Profile Details
NPI Number
1316525199
Provider Name
Bryan Matthew Koppa
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Blvd, Winston Salem, NC, 79902-1206
Phone Number
336-716-3182
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-3182
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-3182
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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