Copper Queen Medical Associates-douglas | |
100 E 5th St Douglas AZ 85607-2859 | |
(520) 364-7659 | |
Not Available |
Full Name | Copper Queen Medical Associates-douglas |
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Speciality | Clinic/center |
Location | 100 E 5th St, Douglas, Arizona |
Authorized Official Name and Position | James Dickson (CEO) |
Authorized Official Contact | 5204326400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Copper Queen Medical Associates-douglas 100 E 5th St Douglas AZ 85607-2859 Ph: (520) 364-7659 | Copper Queen Medical Associates-douglas 100 E 5th St Douglas AZ 85607-2859 Ph: (520) 364-7659 |
NPI Number | 1790182871 |
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Provider Enumeration Date | 12/04/2014 |
Last Update Date | 12/04/2014 |
Identifier | Type | State | Issuer |
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1790182871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | H0098 (Arizona) | Primary |
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