Individual
DR. JOSEPH CONRAD COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 MEDICAL ARTS BLVD, #315, ANDERSON, IN 46011-3461
(765) 298-4020
(765) 298-4930
Mailing address
1210 MEDICAL ARTS BLVD, SUITE #315, ANDERSON, IN 46011-3461
(765) 298-4020
(765) 298-4930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01026771A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079993
BLUE CROSS/BLUE SHIELD
IN
05
—
100170620A
—
IN
01
—
P00095568
RETIRED RAILROAD MEDICARE
IN
Enumeration date
08/03/2005
Last updated
05/06/2008
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