Individual
MITCHELL LARRY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2020 N 12TH ST, GRAND JUNCTION, CO 81501-2914
(970) 245-0484
(970) 241-2803
Mailing address
2020 N 12TH ST, GRAND JUNCTION, CO 81501-2914
(970) 245-0484
(970) 241-2803
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22678
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226786
—
CO
Enumeration date
06/08/2006
Last updated
02/20/2013
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