Individual
J WALTER COPLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 846-4984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00613
WV
Other
Enumeration date
11/16/2005
Last updated
10/08/2021
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