| Derrick Copes | |
|
1230 W Owens Ave Ste 6 Las Vegas NV 89106-2451 | |
| (702) 636-5373 | |
| Not Available |
| Full Name | Derrick Copes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1230 W Owens Ave Ste 6, Las Vegas, Nevada |
| Authorized Official Name and Position | Derrick Copes (ADMINISTRATOR) |
| Authorized Official Contact | 7026365373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick Copes 1230 W Owens Ave Ste 6 Las Vegas NV 89106-2451 Ph: (702) 636-5373 | Derrick Copes 1230 W Owens Ave Ste 6 Las Vegas NV 89106-2451 Ph: (702) 636-5373 |
| NPI Number | 1063756161 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063756161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Nevada) | Primary |
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