Individual
MRS. JULIE MICHELE COPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
152 FOOTE AVENUE, JAMESTOWN, NY 14701
(716) 664-5290
(716) 664-7630
Mailing address
152 FOOTE AVENUE, JAMESTOWN, NY 14701
(716) 664-5290
(716) 664-7630
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054651
PA
Other
Enumeration date
10/08/2010
Last updated
11/07/2016
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