Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 15648 | NV |
N | 2080P0207X | Pediatric Hematology-Oncologist | MD035851 | DC |
NPI | 1063508646 |
---|---|
Provider Name | Max Coppes |
First Address | Reno, NV 89502-0845 |
Second Address | Reno, NV 89502-1464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 15/02/2017 |