| Doctor Name: | MORDECAI KOPPERMAN |
| NPI Number: | 1164512927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 04-16318 |
| Business Practice Address: | 119 W Iron Ave Fl 5 Salina, KS - 674012600 |
| Business Phone Number: | 7858279526 |
| Business Fax Number: | 7858272854 |
| Mailing Address: | 119 W Iron Ave Fl 5, Po Box 2327 SALINA |
| State: | KS |
| Postal Code: | 674012600 |
| Phone Number: | 7858279526 |
| Fax Number: | 7858272854 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 04-16318 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |