Organization
SKYLINE PEDIATRICS PROFESSIONAL CORPORATION
Active
Other names
Skyline Pediatrics PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRICE KOPAS M.D. (PRESIDENT)
(520) 834-5020
Entity
Organization
Contact information
Practice address
4930 N 1ST AVE, TUCSON, AZ 85718-5615
(520) 577-3333
(520) 577-4685
Mailing address
4930 N 1ST AVE, TUCSON, AZ 85718-5615
(520) 577-3333
(520) 577-4685
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33544
AZ
208000000X
Pediatrics Physician
40475
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355175
—
AZ
05
—
932617
—
AZ
Enumeration date
03/15/2010
Last updated
11/12/2024
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