NPI 1053822189

Cope Medical Group LLC

Organisation Medical Specialty Clinic/Center Zachary, LA

Practice location

Address: 4242 Highway 19 STE B-3, Zachary, LA 70791-3982
Phone: (225) 772-4677

Authorised official

Name: Mario Johnson
Title: Ceo/Owner
Phone: (225) 772-4677

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X

Other Clinic/Center providers in Louisiana →

Registry record

NPI: 1053822189
Entity type: Organization
NPI issued: 16 Oct 2017
Record last updated: 16 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.