Copper State Hospital and Surgical
Copper State Hospital and Surgical provides Surgical Physician Assistant services in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
2852 S Carriage LnMesa, AZ 85202-7801 Not confirmed with CMS for 12 years — call before visiting
Phone: (480) 706-9430
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 5596 (AZ) |
|---|
Record details
| NPI number | 1154746865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Herzog — Owner · (480) 706-9430 |
| NPI enumerated | March 4, 2014 |
| Last updated in NPPES | March 4, 2014 |
| Mailing address | Po Box 40760, Mesa, AZ 85274-0760 |
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Marcy L. Cruz, RNFA
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MS. Kathryn Suzanne Doyle, CRNFA
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Mr. William A Feely, CSA
2852 S Carriage Ln, Mesa, AZ 85202 · (480) 706-9430