COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS is a clinic center in Douglas, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COPPER QUEEN MEDICAL ASSOCIATES DOUGLAS NPI is 1942217088. The provider is registered as an organization entity type.
The provider's business location address is:
100 E 5TH ST
DOUGLAS, AZ
ZIP 85607-859
Phone: (520) 364-7659
Fax: (520) 364-8541
The provider's authorized official is Betty Jo Carrizoza .
The authorized official title is Office Manager and has the following contact phone number (520) 364-7659.
The CLIA number assigned to this NPI record is 03D2124326 - other with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 8/2/2006 and was last updated on 8/8/2008.