Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY ANN KOPPERUD, D.O.
ActiveTRACEY ANN KOPPERUD, D.O. is a Obstetrics & Gynecology healthcare provider located in MERIDIAN, Idaho. NPI 1437194388 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · MERIDIAN, ID
Registration Details
- NPI Number
- 1437194388
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 17, 2006 (20.201747333519 yrs)
- Last Updated
- May 14, 2021
- License
-
O0690 (ID)
Practice Information
- Address
-
3520 E LOUISE DRMERIDIAN, ID, 836426304Browse ID providers · Browse ZIP 83642
- Phone
- 2088880909
- Fax
- 2088885825
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| MARY FRANCES F WOODS | MD | 1528066222 |
| DR. LAURA J ZOELLNER | MD | 1154304558 |
| PHILLIP C AGRUSA | MD | 1407826167 |
| SCOTT B ARMSTRONG | MD | 1205806965 |
| KELLY SIUDZINSKI | M.D. | 1417906405 |
| MARY C HAFER | MD | 1861449084 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.