Organization
COPPER SPRINGS HOSPITAL PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MILLER (EVO - CFO)
(412) 588-3546
Entity
Organization
Contact information
Practice address
10550 W MCDOWELL RD, AVONDALE, AZ 85392-4864
(480) 565-3035
Mailing address
101 S 5TH ST, LOUISVILLE, KY 40202-3157
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237571
—
AZ
Enumeration date
07/07/2016
Last updated
05/20/2020
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