Dr. Rafael Eugenio Coplin Reynoso, MD

Internal Medicine, Critical Care Medicine in Bismarck, ND. Individual provider (NPI-1).

NPI number1427095702

StatusActive

Last updated in NPPESMar 30, 2022

Details

NPI: 1427095702
Entity type: Individual (NPI-1)
Name: Dr. Rafael Eugenio Coplin Reynoso
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 2, 2006
Certification date: Mar 30, 2022
Last updated: Mar 30, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207RC0200X	Internal Medicine, Critical Care Medicine	25875	WV	Yes
207R00000X	Internal Medicine	45519	KY
207RC0200X	Internal Medicine, Critical Care Medicine	036155263	IL
207RP1001X	Internal Medicine, Pulmonary Disease	036155263	IL
208M00000X	Hospitalist	45519	KY

Other names

Rafael Eugenio Coplin Reynoso (Professional Name)

Practice location

900 E Broadway Ave
Bismarck, ND 58501-4520

Phone 701-530-4777

Mailing address

900 E Broadway Ave
Bismarck, ND 58501-4520

Phone 701-530-4777

Other practice locations

2300 N Edward St
Decatur, IL 62526-4163

Phone 217-876-4200 · Fax 217-876-4209

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