COPPER STATE HOSPITAL AND SURGICAL

MESA, AZ
NPI1154746865
Entity TypeOrganization
Authorized ContactJAMES HERZOG
Owner
480-706-9430
Organization Subpart ?No
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: AZ  5596)
Enumeration Date2014-03-04
Last Update Date2014-03-04
Business Address
COPPER STATE HOSPITAL AND SURGICAL
2852 S CARRIAGE LN
MESA, AZ 85202-7801
Phone number: 480-706-9430
Mailing Address
COPPER STATE HOSPITAL AND SURGICAL
PO BOX 40760
MESA, AZ 85274-0760
Phone number: 480-706-9430
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