Individual
VICKI DENISE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15351 W BELL RD, SURPRISE, AZ 85374-4580
(877) 809-5092
(623) 815-9253
Mailing address
9520 W PALM LN, SUITE 200, PHOENIX, AZ 85037-4403
(877) 809-5092
(623) 815-9253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25587
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
427204
—
AZ
Enumeration date
10/27/2005
Last updated
04/05/2013
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