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Individual

JOHN ANDREW COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
46 72 KILKEE, REDDING, CA 96001
(530) 242-5865
Mailing address
46 72 KILKEE, REDDING, CA 96001
(530) 242-5865

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A93874
CA
207L00000X
Anesthesiology Physician
L7341
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639858-02
TX
Enumeration date
12/02/2005
Last updated
09/24/2019
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