Jordan Kopsho

NPI #1003655481 in Moscow, Idaho

Provider Information

NPI Number
1003655481
Entity Type
Individual
Name
Jordan Kopsho
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 23, 2024
Last Updated
May 23, 2024

Practice Location

Address
875 PERIMETER DR
City
Moscow
State
Idaho
ZIP Code
83844-9803
Phone
(208) 885-6111

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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