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NPI Code Detail

MEDICARE: MITCHELL LARRY COPELAND DO

MEDICARE: MITCHELL LARRY COPELAND DO
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
1207X00000XOrthopaedic Surgery Physician22678CO

Other Identifiers

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

General Provider Information

NPI Number : 1922049543
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL LARRY COPELAND DO
Provider Business Mailing Address
First Line : 2020 N 12TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-2914
Country : US
Telephone Number : 970-245-0484
Fax Number : 970-241-2803
Provider Business Practice Location Address
First Line : 2020 N 12TH ST
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81501-2914
Country : US
Telephone Number : 970-245-0484
Fax Number : 970-241-2803
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 02/20/2013

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Directions to “ MITCHELL LARRY COPELAND DO” Practice Location

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