High Pines Urology PC

NPI #1407969637 in Lakeside, Arizona

Provider Information

NPI Number: 1407969637
Entity Type: Organization
Organization Name: High Pines Urology PC
Primary Specialty: Urology
Enumeration Date: Aug 15, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 300 W WHITE MOUNTAIN BLVD
Address 2: SUITE C
City: Lakeside
State: Arizona
ZIP Code: 85929
Phone: (928) 367-2832

Authorized Official

Name: DUAN CRAIG COPELAND, M.D.
Title: OWNER
Phone: (928) 367-2832

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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