Organization
COPPER CREEK MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED TALL (PRESIDENT)
(509) 998-4309
Entity
Organization
Contact information
Practice address
3410 E DESMET AVE, SUITE B, SPOKANE, WA 99202-4514
(509) 536-7626
(509) 536-7629
Mailing address
21222 30TH DR SE, SUITE 210, BOTHELL, WA 98021-7019
(206) 621-1982
(425) 820-0831
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
08/27/2012
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