| Imber Coppinger, D.o., Llc | |
|
410 E State St Athens OH 45701-1819 | |
| (740) 594-9355 | |
| (740) 594-1110 |
| Full Name | Imber Coppinger, D.o., Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 410 E State St, Athens, Ohio |
| Authorized Official Name and Position | Imber C Coppinger (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7405949355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imber Coppinger, D.o., Llc 410 E State St Athens OH 45701-1819 Ph: (740) 594-9355 | Imber Coppinger, D.o., Llc 410 E State St Athens OH 45701-1819 Ph: (740) 594-9355 |
| NPI Number | 1245569532 |
|---|---|
| Provider Enumeration Date | 12/15/2009 |
| Last Update Date | 12/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245569532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34007281 (Ohio) | Primary |
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