Individual
DR. DANNY L COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6824 NEWBURG RD, ROCKFORD, IL 61108-4330
(779) 696-7610
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036051141
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051141
—
IL
Enumeration date
06/12/2006
Last updated
02/05/2015
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