| NPI | 1508137209 |
|---|---|
| Doing Business As | COPPER QUEEN MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ROBERT SEAMON CEO 520-432-6400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service (Licence: AZ H0098) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2019-09-23 |