Copper Creek Medical, Inc.
NPI #1518215391 in Kent, Washington
Provider Information
- NPI Number
- 1518215391
- Entity Type
- Organization
- Organization Name
- Copper Creek Medical, Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Aug 27, 2012
- Last Updated
- Aug 27, 2012
Practice Location
- Address
- 20038 68TH AVE S
- Address 2
- SUITE 101
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-2154
- Phone
- (253) 395-2630
Authorized Official
- Name
- MR. ALFRED TALL
- Title
- PRESIDENT
- Phone
- (509) 998-4309
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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