Copper State Hospital And Surgical

NPI 1154746865 - Physician Assistant - 363AS0400X

NPI Details
NPI 1154746865
Enumeration Date 03/04/2014
Last Updated 03/04/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JAMES JAMES
Position OWNER
Phone (480) 706-9430
Fax
Practice Location
2852 S CARRIAGE LN
MESA AZ, 85202-7801, US
Phone (480) 706-9430
Fax
Business Location
PO BOX 40760
MESA AZ, 85274-0760, US
Phone (480) 706-9430
Fax
Toxanomy
Taxonomy Code 363AS0400X
License State Arizona
License Number 5596
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According to our database, Copper State Hospital And Surgical NPI is 1154746865, taxonomy code is 363AS0400X and license number is 5596, license state is located at Arizona. Copper State Hospital And Surgical physically located at 2852 S Carriage Ln, Mesa AZ, 85202-7801. NPI Number 1033115704 has the healthcare provider type.

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1154746865 NPI number is provided on an as is basis without warranty of any kind. 1154746865 is maintained by the National Plan & Provider Enumeration System. The contents of Copper State Hospital And Surgical are for informational purposes only.