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NPI Code Detail

MEDICARE: BRYAN D COPAS PA

MEDICARE:   BRYAN D COPAS  PA
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
1363A00000XPhysician AssistantPA.0002807CO

General Provider Information

NPI Number : 1982688057
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN D COPAS PA
Provider Business Mailing Address
First Line : 569 32 RD., UNIT 12
Second Line : MOUNTAIN PEAKS URGENT CARE
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Provider Business Practice Location Address
First Line : 569 32 RD, UNIT 12
Second Line : MOUNTAIN PEAKS URGENT CARE
City : GRAND JUNCTION
State : CO
Zip : 81504-6095
Country : US
Telephone Number : 970-523-3544
Fax Number : 970-434-3422
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 11/16/2015

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Directions to “ BRYAN D COPAS PA” Practice Location

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