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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