Organization
COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS
Active
Organization
COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY JO CARRIZOZA (OFFICE MANAGER)
(520) 364-7659
Entity
Organization
Contact information
Practice address
100 E 5TH ST, DOUGLAS, AZ 85607-2859
(520) 364-7659
(520) 364-8541
Mailing address
100 E 5TH ST, DOUGLAS, AZ 85607-2859
(520) 364-7659
(520) 364-8541
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OTC-3364
AZ
Other
Enumeration date
08/02/2006
Last updated
08/08/2008
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