COPPER CREEK MEDICAL INC NPI 1295994291

NPI Information

COPPER CREEK MEDICAL INC is an oxygen equipment and supplies durable medical equipment medical supplies in Coeur D Alene, ID. COPPER CREEK MEDICAL INC NPI is 1295994291. The provider is registered as an organization entity type.

The provider's business location address is:

2005 IRONWOOD PKWY
SUITE 130
COEUR D ALENE, ID
ZIP 83814-465
Phone: (208) 667-3203
Fax: (208) 667-3110

The provider's authorized official is Alfred A Tall .
The authorized official title is President and has the following contact phone number (206) 331-1675.

The enumeration date for this NPI number is 6/4/2008 and was last updated on 4/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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