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Mr. Peter Christopher Koepp, PA-C
Medical Physician Assistant in Fort Bragg, North Carolina
NPI 1497867907

Peter Christopher Koepp is a Medical Physician Assistant based in Fort Bragg, NC and is specialized in Medical. Peter Christopher Koepp practices in Fort Bragg, NC and has the professional credentials of PA-C. The NPI Number for Peter Christopher Koepp is 1497867907 and holds a License No. PA05201 (North Carolina).

The current practice location address for Peter Christopher Koepp is 2817 Reilly St, Fort Bragg, NC and can be reached out via phone at 910-396-7775.

Location: 2817 Reilly St, Fort Bragg, NC, 28310-7324
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497867907
Provider Name
Peter Christopher Koepp
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2817 Reilly St, Fort Bragg, NC, 28310-7324
Phone Number
910-396-7775
Fax Number
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8Y0987 01 TX BLUE CROSS
186438101 05 TX
institution
Provider Business Practice Location Address Details
Address
2817 Reilly St
City
Fort Bragg
State
North Carolina
Zip
28310-7324
Phone Number
910-396-7775
Fax Number
person
Provider Business Mailing Address Details
Address
2817 Reilly St
City
Fort Bragg
State
North Carolina
Zip
28310-7324
Phone Number
910-396-7775
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-02309 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA05201 (Texas)
Definition
Definition to come...
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