William R Koopal, PA
Physician Assistant in Albany, GA. Individual provider (NPI-1).
NPI number1184190837
StatusActive
Last updated in NPPESJan 8, 2020
Details
- NPI
- 1184190837
- Entity type
- Individual (NPI-1)
- Name
- William R Koopal
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 21, 2018
- Certification date
- Jan 8, 2020
- Last updated
- Jan 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 9568 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2403 Osler Ct Ste AAlbany, GA 31707-0205
Phone 229-405-6196 · Fax 229-261-1334
Mailing address
204 N Westover BlvdAlbany, GA 31707-2983
Phone 229-888-6559 · Fax 229-436-4107
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All 36 Physician Assistant providers in Albany · All 2,311 providers in Albany
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