Individual
CULLEN CLEVELAND COPELAND SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 S 8TH AVE STE 200, YUMA, AZ 85364-7158
(928) 336-7095
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 336-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33806
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
07/20/2021
Last updated
07/03/2025
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