Doctor Name: | DR. DUAN CRAIG COPELAND |
NPI Number: | 1891808028 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 35699 |
Business Practice Address: | 3200 S Gilbert Rd Chandler, AZ - 852865107 |
Business Phone Number: | 4804716404 |
Business Fax Number: | 4802194915 |
Mailing Address: | 1250 S Clearview Ave Ste 100, MESA |
State: | AZ |
Postal Code: | 852093378 |
Phone Number: | 4809889108 |
Fax Number: | 4808134460 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35699 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |