Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DEN 1999135978 | MO |
Y | 213EG0000X | General Practice | DEN 1999135978 | MO |
NPI | 1003952292 |
---|---|
Provider Name | Chanin S Ropka |
First Address | Springfield, MO 65807-4712 |
Second Address | Springfield, MO 65807-4712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2007 |
Last Update Date | 08/07/2007 |