Tracey Ann Kopperud in Meridian - Obstetrics & Gynecology
Tracey Ann Kopperud - NPI 1437194388
Tracey Ann Kopperud is a Obstetrics & Gynecology in Meridian, Idaho. Tracey Ann Kopperud practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Tracey Ann Kopperud is 1437194388. The last update date is 2021-05-14.
Tracey Ann Kopperud's current location address is 3520 E Louise Dr, Meridian, Idaho. You can contact this provider via phone number 2088880909 and fax number 2088885825. The mailing address for Tracey Ann Kopperud is 3520 E Louise Dr, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Ann Kopperud |
|---|---|
| Address | 3520 E Louise Dr, Meridian, Idaho |
| Phone Number | 2088880909 |
| Fax Number | 2088885825 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1437194388 |
|---|---|
| Provider Enumeration Date | 2006-06-17 |
| Last Updated Date | 2021-05-14 |
Provider Mailing Address Detail
| Address | 3520 E Louise Dr |
|---|---|
| City | Meridian |
| State | Idaho (ID) |
| Post Code | 836426304 |
| Phone Number | 2088880909 |
| Fax Number | 2088885825 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | O0690 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21910 | IA | WELLMARK, CLIVE OFFICE |
Post Comment/ Review Below
What is the Tracey Ann Kopperud's unique identification number?
The Tracey Ann Kopperud has been assigned the NPI (National Provider Identifier) Number 1437194388 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Tracey Ann Kopperud?
The Tracey Ann Kopperud is physically situated at 3520 E Louise Dr, in the city of Meridian, state of ID, with the postal code 836426304.
What is Tracey Ann Kopperud's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tracey Ann Kopperud's specialized field of practice is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 207V00000X.
On what date did the Tracey Ann Kopperud receive the assignment of its 1437194388 from the Centers for Medicare & Medicaid Services?
The Tracey Ann Kopperud was issued its 1437194388 by the Centers for Medicare & Medicaid Services on 2006-06-17.
When was the information regarding Tracey Ann Kopperud most recently updated?
The details pertaining to the Tracey Ann Kopperud, including its address, specialty, and other relevant information, were last refreshed on 2021-05-14.
NPI Number: 1891783965
Address: 3601 W 76th St Ste 300, Edina, MN