Organization · Type 2 NPI

Copper State Hospital and Surgical

Surgical Physician Assistant · Mesa, AZ

NPI number 1154746865 Active

Practice location

2852 S Carriage Ln
Mesa, AZ 85202-7801

Call (480) 706-9430 Map

Mailing address

PO Box 40760
Mesa, AZ 85274-0760

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5596 (AZ)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1154746865

Copper State Hospital and Surgical's National Provider Identifier is 1154746865, issued on Mar 4, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mesa, AZ. The record was last updated on Mar 4, 2014.