Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1861527491 |
| LBN Legal business name | COPLEY PRIMARY CARE LLC |
| Authorized official | BRIAN HEIM - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/22/2007 |
| Last updated | 11/27/2007 - About 19 years ago |
| Identifiers | n/a |
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COPLEY PRIMARY CARE LLC
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