Basic Information
| Provider Information | |||||||||
| NPI: | 1093903700 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COPP | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | HARRISON | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3849 CASCADIA AVE S | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981181128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2065182653 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3815 S OTHELLO ST | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981183510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2067883500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2007 | ||||||||
| LastUpdateDate: | 11/21/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD60094853 | WA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.