RANDOLPH L COPELAND

DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER

Dr RANDOLPH L COPELAND is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1975 from Tulane University School Of Medicine.

Contact

DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER

516 E NIZHONI BLVD
GALLUP
NM
873015748

Tel: 5057221000

RANDOLPH L COPELAND Information

Npi 1326079799
Pac Id 7012076490
Professional Enrollment Id I20081030000711
Last Name COPELAND
First Name RANDOLPH
Middle Name L
Suffix
Gender M
Credential
Medical School Name TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1975
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER
Group Practice Pac Id 3173436409
Number Of Group Practice Members 151
Line 1 Street Address 516 E NIZHONI BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GALLUP
State NM
Zip Code 873015748
Phone Number 5057221000
Hospital Affiliation Ccn 1 320061
Hospital Affiliation Lbn 1 GALLUP INDIAN MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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