Provider Demographics
NPI:1104118082
Name:JUSTIN K KROPF, MD PC
Entity type:Organization
Organization Name:JUSTIN K KROPF, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KROPF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-840-5088
Mailing Address - Street 1:854 W JAMES CAMPBELL BLVD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-4659
Mailing Address - Country:US
Mailing Address - Phone:931-840-5088
Mailing Address - Fax:931-840-5086
Practice Address - Street 1:927 N JAMES CAMPBELL BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2753
Practice Address - Country:US
Practice Address - Phone:931-840-5088
Practice Address - Fax:931-840-5086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46759208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty