Individual provider · Type 1 NPI

Theresa Koppal, PA-C

Physician Assistant · Gilbert, AZ

NPI number 1033510508 Active

Practice location

2940 E Banner Gateway Dr Ste 200-250
Gilbert, AZ 85234-2168

Call (602) 548-5444 Map

Fax (602) 772-3801

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X5748 (AZ)
Physician Assistant Primary 363A00000X5748 (AZ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1033510508

Theresa Koppal, PA-C's National Provider Identifier is 1033510508, issued on Sep 15, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Gilbert, AZ. The record was last updated on Jul 29, 2022.