Guerdon Maurice Kopp, DPH

NPI #1760705016 in Ooltewah, Tennessee

Provider Information

NPI Number: 1760705016
Entity Type: Individual
Name: Guerdon Maurice Kopp, DPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: DPH
Enumeration Date: Mar 1, 2010
Last Updated: Mar 1, 2010

Practice Location

Address: 9213 LEE HWY
City: Ooltewah
State: Tennessee
ZIP Code: 37363-8828
Phone: (423) 855-8037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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