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Individual

ROBERT MERRILL COPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1490 E FOREMASTER DR, SUITE 300, ST GEORGE, UT 84790-4488
(435) 688-2104
(435) 628-5308
Mailing address
1490 E FOREMASTER DR, SUITE 300, ST GEORGE, UT 84790-4488
(435) 688-2104
(435) 628-5308

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
1772961205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107006905102
SELECT HEALTH/IHC
UT
01
114556
ANTHEM BLUE CROSS
UT
01
340005827
RAIL ROAD MEDICARE
UT
01
QM0000039787
ALTIUS
UT
Enumeration date
06/28/2006
Last updated
11/29/2007
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