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Individual

MR. JEFFREY ALLAN COPOLOFF

Active
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Individual

MR. JEFFREY ALLAN COPOLOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0355
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11178489
CAQH
AZ
01
—
113710768
TRICARE
AZ
05
—
129181
—
AZ
01
—
2Z1833
HEALTH NET AZ
AZ
01
—
4496171
AETNA
AZ
01
—
6202669
GHI
AZ
01
—
6624646
CIGNA
AZ
01
—
AZ0195160
BCBS
AZ
Enumeration date
06/06/2006
Last updated
12/20/2016
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