COPPER STATE HOSPITAL AND SURGICAL NPI 1154746865

NPI Information

NPI: 1154746865
Provider Name: COPPER STATE HOSPITAL AND SURGICAL
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
2852 S CARRIAGE LN
MESA, AZ
ZIP 85202
Phone: (480) 706-9430
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COPPER STATE HOSPITAL AND SURGICAL is a surgical physician assistant in Mesa, AZ. COPPER STATE HOSPITAL AND SURGICAL NPI is 1154746865. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2852 S CARRIAGE LN
MESA, AZ
ZIP 85202-801
Phone: (480) 706-9430

The provider's authorized official is James Herzog .
The authorized official title is Owner and has the following contact phone number (480) 706-9430.

The enumeration date for this NPI number is 3/4/2014 and was last updated on 3/4/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	5596	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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