Individual
JANE RITA SCHOPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1945 MESQUITE AVE, SUITE B, LAKE HAVASU CITY, AZ 86403-5889
(928) 855-7773
(928) 855-0532
Mailing address
1945 MESQUITE AVE, SUITE B, LAKE HAVASU CITY, AZ 86403-5889
(928) 855-7773
(928) 855-0532
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1976
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348343
—
AZ
Enumeration date
02/22/2007
Last updated
07/09/2007
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