Individual
GRAHAM ANDREW COPUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
770 W HIGH ST STE 350, LIMA, OH 45801-5901
(419) 228-8950
(419) 224-7904
Mailing address
770 W HIGH ST STE 350, LIMA, OH 45801-5901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007599RX
OH
Other
Enumeration date
05/24/2021
Last updated
08/23/2022
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