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NPI Code Detail

MEDICARE: SARA M COPELAND MD

MEDICARE:   SARA M COPELAND  MD
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
1207SG0201XClinical Genetics (M.D.) PhysicianC55689CA
2207SG0202XClinical Biochemical Genetics PhysicianC55689CA
3208000000XPediatrics PhysicianC55689CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
236381OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1891780672
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA M COPELAND MD
Provider Business Mailing Address
First Line : 325 DISTEL CIR
Second Line :
City : LOS ALTOS
State : CA
Zip : 94022-1408
Country : US
Telephone Number : 408-886-0926
Fax Number :
Provider Business Practice Location Address
First Line : 901 CAMPUS DR
Second Line : STE 111
City : DALY CITY
State : CA
Zip : 94015-4900
Country : US
Telephone Number : 650-652-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 06/22/2020

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Directions to “ SARA M COPELAND MD” Practice Location

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