| Doctor Name: | JOHN COPELAND |
| NPI Number: | 1609204254 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS 12894 |
| Business Practice Address: | 331 Sijen Ave Whiteman Afb, MO - 653051269 |
| Business Phone Number: | 6606872157 |
| Business Fax Number: | |
| Mailing Address: | 331 Sijen Ave, WHITEMAN AFB |
| State: | MO |
| Postal Code: | 653051269 |
| Phone Number: | 6606872157 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2013 |
| NPI Last Update Date: | 09/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS 12894 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |