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NPI Code Detail

MEDICARE: ASUNCION R. COPE M.D.

MEDICARE: ASUNCION R. COPE M.D.
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 PhysicianIL

General Provider Information

NPI Number : 1366446395
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASUNCION R. COPE M.D.
Provider Business Mailing Address
First Line : PO BOX 429
Second Line :
City : MC LEANSBORO
State : IL
Zip : 62859-0429
Country : US
Telephone Number : 618-643-2361
Fax Number : 618-643-3061
Provider Business Practice Location Address
First Line : 611 S MARSHALL AVE
Second Line :
City : MC LEANSBORO
State : IL
Zip : 62859-1213
Country : US
Telephone Number : 618-643-2361
Fax Number : 618-643-3061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 07/08/2007

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