JULIAN DEBRUYNKOPS MD PA
Marriage and Family Therapists at 17 St, Idaho Falls, ID

License number
Idaho M3222
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. JULIAN DE BRUYN KOPS MD
Title: DIRECTOR
Phone: (208) 522-6106
Address
Address
2065 E 17Th St SUITE C, Idaho Falls, ID 83404
National Provider ID: 1932417607
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JULIAN DEBRUYNKOPS, M.D., PA

1301 E 17 St #4, Idaho Falls, ID 83401

Status:
Inactive
Registration:
Nov 21, 1977
Inactive since:
Dec 1, 1988
Business type:
CORPORATION, PROFESSIONAL ASSOCIATION
Agent:
Julian De Bruyn Kops,1301 E 17, Idaho Falls, ID 83401 (Physical)

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