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Organization
COPPER STAR MEDICAL SUPPLY
Active
Organization
COPPER STAR MEDICAL SUPPLY
Active
Parent organization
COPPER STAR MEDICAL SUPPLY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COPPER STAR MEDICAL SUPPLY
Authorized official
SHERRY A MILDENBERGER RT (DIRECTOR OF CLINICAL SERVICES)
(801) 590-2714
Entity
Organization
Contact information
Practice address
2415 W ERIE DR, TEMPE, AZ 85282-3112
(623) 303-9548
Mailing address
132 E 13065 S STE 200, DRAPER, UT 84020-5646
(801) 590-2714
(801) 463-2880
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NULL
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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