Spencer Garrett Copeland
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Gilbert, AZ
NPI 1861064008 · NPPES record last updated Jul 16, 2021
Key facts
- NPI
- 1861064008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Practice address
- 2301 W. Sanoque CT
Gilbert, AZ 85298 - Phone
- (602) 734-1405
- NPI assigned
- Jul 16, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Iom LLC | Electroneurodiagnostic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Yes |
Addresses
Primary practice location
2301 W. Sanoque CT
Gilbert, AZ 85298
Mailing address
825 W Osborn Rd Apt 4027
Phoenix, AZ 85013-3674
Phone (210) 861-6011
Other providers in Gilbert, AZ
- Heather Ann Cooper
- Janet Knapp Cooper
- Natalie Elaine Cooper
- Sondra L Cooper
- Bryan Coots
- Casandra Coplan
- Copper Basin Oral Surgery
- Copper Communities Hospice, LLC
- Copper Springs Hospital, LLC
- Copper State Dentistry LLC
All providers in Gilbert, AZ · Electroneurodiagnostic Specialist/Technologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.