| Copper Springs Hospital Physician Group Llc | |
|
10550 W Mcdowell Rd Avondale AZ 85392-4864 | |
| (480) 565-3035 | |
| Not Available |
| Full Name | Copper Springs Hospital Physician Group Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10550 W Mcdowell Rd, Avondale, Arizona |
| Authorized Official Name and Position | Greg Miller (EVO - CFO) |
| Authorized Official Contact | 4125883546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Springs Hospital Physician Group Llc 101 S 5th St Louisville KY 40202-3157 Ph: () - | Copper Springs Hospital Physician Group Llc 10550 W Mcdowell Rd Avondale AZ 85392-4864 Ph: (480) 565-3035 |
| NPI Number | 1700238318 |
|---|---|
| Provider Enumeration Date | 07/07/2016 |
| Last Update Date | 05/20/2020 |
| Certification Date | 05/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700238318 | NPI | - | NPPES |
| 237571 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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