Dr JULIAN DE BRUYN KOPS is a male medical professional, specializing in Family Medicine. He graduated in 1972 from Harvard Medical School.
2065 E 17TH ST
SUITE C
IDAHO FALLS
ID
834048042
Tel:
| Npi | 1922086552 |
| Pac Id | 5193904571 |
| Professional Enrollment Id | I20110201000632 |
| Last Name | DE BRUYN KOPS |
| First Name | JULIAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1972 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 2065 E 17TH ST |
| Line 2 Street Address | SUITE C |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834048042 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 131324 |
| Hospital Affiliation Lbn 1 | LOST RIVERS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130018 |
| Hospital Affiliation Lbn 2 | EASTERN IDAHO REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 130065 |
| Hospital Affiliation Lbn 3 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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