NPI 1205185170

Copper Communities Hospice, LLC

Organisation Pain Medicine Physician Mesa, AZ

Practice location

Address: 1640 S Stapley Dr STE. 245, Mesa, AZ 85204-6664
Phone: (480) 383-8599

Authorised official

Name: Richard E Bass
Title: Managing Partner
Phone: (602) 717-4751

Registered specialties (3)

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Pain Management Registered Nurse

Nursing Service Providers Taxonomy 163WP0000X

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Registry record

NPI: 1205185170
Entity type: Organization
NPI issued: 6 Sep 2012
Record last updated: 3 Aug 2016

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.