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Individual
CARY LEWIS COPELAND
Active
Individual
CARY LEWIS COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36-002638
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000250229
ANTHEM
OH
05
—
0908058
—
OH
01
—
480034608
RR MEDICARE
OH
Enumeration date
12/07/2005
Last updated
10/16/2014
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