J Walter Copley III, PA-C

NPI #1558343475 in Buckeye, West Virginia

Provider Information

NPI Number: 1558343475
Entity Type: Individual
Name: J Walter Copley III, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 16, 2005
Last Updated: Oct 8, 2021

Practice Location

Address: 150 DUNCAN RD
City: Buckeye
State: West Virginia
ZIP Code: 24924-9037
Phone: (304) 799-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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