Richard Terry Coppoletti, MD

NPI #1215982822 in Rockford, Illinois

Provider Information

NPI Number: 1215982822
Entity Type: Individual
Name: Richard Terry Coppoletti, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: May 23, 2006
Last Updated: Jul 1, 2010

Practice Location

Address: 4320 MORSAY DR
City: Rockford
State: Illinois
ZIP Code: 61107-4877
Phone: (815) 399-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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