Individual
DR. RUSSELL ISAAC COPELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E. BOULDER ST., MEMORIAL HOSPITAL NORTH, COLORADO SPRINGS, CO 80909
(719) 365-5000
Mailing address
1024 RED BROOKE DR, COLORADO SPRINGS, CO 80911-3848
(719) 432-9322
(719) 365-5184
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
24453
CO
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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