Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 030806 | GA |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 030806 | GA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 26138 | MT |
NPI | 1275532897 |
---|---|
Provider Name | Harry Arvin Kopelman |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101-0760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2005 |
Last Update Date | 05/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000380443GIKLMN | (05) | GA |
D29970 | (02) | GA |