Organization
JEFFREY A. COPOLOFF, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY A COPOLOFF DPM (OWNER/DOCTOR)
(623) 934-3211
Entity
Organization
Contact information
Practice address
8415 N PIMA RD, SUITE 100, SCOTTSDALE, AZ 85258-4480
(623) 934-3211
(480) 661-3990
Mailing address
PO BOX 14390, SCOTTSDALE, AZ 85267-4390
(623) 934-3211
(480) 661-3990
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
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
05/26/2006
Last updated
01/20/2015
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