Individual
DR. BRUCE EUGENE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10755 FALLS RD, SUITE 440, LUTHERVILLE, MD 21093-4515
(410) 561-0590
Mailing address
PO BOX 64358, BALTIMORE, MD 21264-4358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0019846
MD
Other
Enumeration date
12/04/2006
Last updated
09/08/2011
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