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Ron L Kopitzke Pt, Dpt Ocs
Specialist in Placerville, California
NPI 1821008236

Ron L Kopitzke Pt, Dpt Ocs is a Specialist based in Placerville, CA. Ron L Kopitzke Pt, Dpt Ocs practices in Placerville, CA. The NPI Number for Ron L Kopitzke Pt, Dpt Ocs is 1821008236 and holds a License No. PT106430 (California).

The current practice location address for Ron L Kopitzke Pt, Dpt Ocs is 4300 Golden Center Dr, Placerville, CA and can be reached out via phone at 530-344-2045 and via fax at 530-642-0794.

Location: 4300 Golden Center Dr, Placerville, CA, 95667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821008236
Provider Name
Ron L Kopitzke Pt, Dpt Ocs
Credential
Provider Entity Type
Organization
Address
4300 Golden Center Dr, Placerville, CA, 95667
Phone Number
530-344-2045
Fax Number
530-642-0794
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPT106430 01 PTAN
institution
Provider Business Practice Location Address Details
Address
4300 Golden Center Dr
City
Placerville
State
California
Zip
95667-6278
Phone Number
530-344-2045
Fax Number
530-642-0794
person
Provider Business Mailing Address Details
Address
4300 Golden Center Dr
City
Placerville
State
California
Zip
95667-6278
Phone Number
530-344-2045
Fax Number
530-642-0794
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
PT106430 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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