Copper Queen Medical Associates Douglas

NPI #1942217088 in Douglas, Arizona

Provider Information

NPI Number: 1942217088
Entity Type: Organization
Organization Name: Copper Queen Medical Associates Douglas
Primary Specialty: Clinic/Center
Enumeration Date: Aug 2, 2006
Last Updated: Aug 8, 2008

Practice Location

Address: 100 E 5TH ST
City: Douglas
State: Arizona
ZIP Code: 85607-2859
Phone: (520) 364-7659

Authorized Official

Name: MS. BETTY JO CARRIZOZA
Title: OFFICE MANAGER
Phone: (520) 364-7659

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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