Organization
HIGH PINES UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUAN CRAIG COPELAND M.D. (OWNER)
(928) 367-2832
Entity
Organization
Contact information
Practice address
300 W WHITE MOUNTAIN BLVD, SUITE C, LAKESIDE, AZ 85929
(928) 367-2832
(928) 367-3321
Mailing address
PO BOX 2619, LAKESIDE, AZ 85929-2619
(928) 367-2832
(928) 367-3321
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71818
AZ
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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