Copeland, Randolph Leigh
Copeland, Randolph Leigh is an individual health care provider with primary practice located at 516 E. Nizhoni Blvd. Box 1337, Gallup NM 87301-1337. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Copeland, Randolph Leigh can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 E. Nizhoni Blvd. Box 1337
Gallup NM 87301-1337
Phone: (505) 722-1000
Fax: (505) 722-1256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | 025131 | Georgia |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD.013119 | Louisiana |
Profile Details
| NPI number | 1326079799 |
|---|---|
| LBN Legal business name | Copeland, Randolph Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Feb 24th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326079799 | NPPES |
| New Mexico | MEDICAID | 000E5728 | |
| New Mexico | MEDICAID | 580218 |
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