Individual
STACEY COPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 W LEOTA ST, SUITE 100, NORTH PLATTE, NE 69101-6576
(308) 534-4440
(308) 534-7675
Mailing address
500 W LEOTA ST, SUITE 100, NORTH PLATTE, NE 69101-6576
(308) 534-4440
(308) 534-7675
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
10/21/2015
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