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NPI Code Detail

MEDICARE: COPE COMMUNITY SERVICES, INC.

MEDICARE: COPE COMMUNITY SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3208D00000XGeneral Practice Physician
4207VG0400XGynecology Physician

General Provider Information

NPI Number : 1134577125
Entity Type Code : Organization
Provider Name (Legal Business Name) : COPE COMMUNITY SERVICES, INC.
Provider Business Mailing Address
First Line : 1477 W COMMERCE CT
Second Line :
City : TUCSON
State : AZ
Zip : 85746-6016
Country : US
Telephone Number : 520-792-3293
Fax Number : 520-792-4336
Provider Business Practice Location Address
First Line : 329 W FRANKLIN ST
Second Line :
City : TUCSON
State : AZ
Zip : 85701-8207
Country : US
Telephone Number : 520-884-5249
Fax Number : 520-547-3395
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. RODNEY COOK
Credential :
Telephone Number : 520-792-3293
Provider Enumeration Date : 05/31/2016
Last Update Date : 08/27/2021

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Directions to “COPE COMMUNITY SERVICES, INC. ” Practice Location

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