Provider Demographics
NPI:1477667152
Name:COPELAND, PAUL CLIFFORD (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:CLIFFORD
Last Name:COPELAND
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 981612
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95798-1612
Mailing Address - Country:US
Mailing Address - Phone:916-376-8416
Mailing Address - Fax:916-376-0759
Practice Address - Street 1:3451 BURROWS AVE
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-9775
Practice Address - Country:US
Practice Address - Phone:916-376-8416
Practice Address - Fax:916-376-0759
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2022-02-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A56422084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry