Organization
F RODNEY COPELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY COPELAND (OWNER)
(620) 227-2471
Entity
Organization
Contact information
Practice address
2405 CENTRAL, DODGE CITY, KS 67801
(620) 227-2471
(620) 227-2334
Mailing address
2405 CENTRAL AVE, DODGE CITY, KS 67801-6206
(620) 227-2471
(620) 227-2334
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1149-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217970A
—
KS
01
—
410009001
RRMDCR
—
Enumeration date
05/04/2007
Last updated
10/06/2009
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