JACK ANDREW COPELAND

ESPANOLA, NM
NPI1780657841
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: NM  97-213)
Enumeration Date2006-02-09
Last Update Date2010-01-25
Business Address
-- JACK ANDREW COPELAND MD
1010 SPRUCE ST
ESPANOLA, NM 87532-3456
Phone number: 505-986-8468
Mailing Address
-- JACK ANDREW COPELAND MD
PO BOX 387
MARFA, TX 79843-0387
Phone number: 432-729-4608
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