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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK ANDREW COPELAND, MD

Active Sole Proprietor

JACK ANDREW COPELAND, MD is a Diagnostic Radiology healthcare provider located in ESPANOLA, New Mexico. NPI 1780657841 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · ESPANOLA, NM

Registration Details

NPI Number
1780657841
Provider Type
Individual
Gender
Male
NPI Issued
Feb 9, 2006 (20.532925002472 yrs)
Last Updated
Jan 25, 2010
License
97-213 (NM)
Sole Proprietor
Yes

Practice Information

Address
1010 SPRUCE ST
ESPANOLA, NM, 875323456
Browse NM providers · Browse ZIP 87532
Phone
5059868468
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in ESPANOLA, NM

Name Credential NPI
BRUCE A LEGLER MD 1922192319
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.