Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 2000156446 | MO |
Y | 207RX0202X | Medical Oncology | 2000156446 | MO |
NPI | 1093743551 |
---|---|
Provider Name | Dr. Margaret A Coplin |
First Address | Saint Louis, MO 63141-6835 |
Second Address | Osage Beach, MO 65065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 15/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
209222801 | (05) | MO |
I10858 | (02) | MO |