COPPER STATE HEALTHCARE PLLC
General Practice Physician · SAN TAN VALLEY, AZ
Organization Active NPI 1922855519
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ✓ | — | — |
| Nurse Practitioner | 363L00000X | — | — | |
| Family Nurse Practitioner | 363LF0000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.