Individual
SHELBY LEIGH COPLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7530 N ORACLE RD STE 102, TUCSON, AZ 85704-4451
(520) 612-7722
(520) 612-7797
Mailing address
1323 W DESERT CLOUD PL, TUCSON, AZ 85737-9259
(317) 488-7990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6768
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14110244
CAQH
—
05
—
322251
—
AZ
Enumeration date
07/27/2017
Last updated
10/20/2024
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