Organization
COPPER STATE ORTHOPEDICS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAR L MANLEY (OFFICE MANAGER)
(602) 262-2663
Entity
Organization
Contact information
Practice address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Mailing address
1002 E MCDOWELL RD, SUITE A, PHOENIX, AZ 85006-2625
(602) 262-2663
(602) 258-3008
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22049
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397621
—
AZ
Enumeration date
01/26/2007
Last updated
04/21/2008
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