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Organization
JON W COPELAND DO PA
Active
Organization
JON W COPELAND DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON W COPELAND DO PA (DOCTOR)
(940) 683-2297
Entity
Organization
Contact information
Practice address
808 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-2297
(940) 683-2984
Mailing address
808 WOODROW WILSON RAY CIR, BRIDGEPORT, TX 76426-2061
(940) 683-2297
(940) 683-2984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DOF9325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080100301
—
TX
Enumeration date
03/15/2007
Last updated
06/12/2008
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