Copper Basin Family Medicine Pllc
NPI #1538354188 in Queen Creek, Arizona
Provider Information
- NPI Number
- 1538354188
- Entity Type
- Organization
- Organization Name
- Copper Basin Family Medicine Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 6, 2007
- Last Updated
- May 8, 2008
Practice Location
- Address
- 20185 E OCOTILLO RD
- Address 2
- SUITE 104
- City
- Queen Creek
- State
- Arizona
- ZIP Code
- 85242-7663
- Phone
- (480) 888-2010
Authorized Official
- Name
- MS. BARBARA MICHELLE HOOSE, RN MSN FNP-C
- Title
- PRESIDENT
- Phone
- (480) 888-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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