Individual
MR. JEFFREY ALLAN COPOLOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3811 E BELL RD, SUITE 309, PHOENIX, AZ 85032-2138
(480) 420-0749
(480) 420-0732
Mailing address
3811 E BELL RD, SUITE 309, PHOENIX, AZ 85032-2138
(480) 420-0749
(480) 420-0732
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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