Organization
COPPER STAR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY A MILDENBERGER (DIRECTOR OF CLINICAL SERVICES/COMP)
(801) 590-2714
Entity
Organization
Contact information
Practice address
14175 W INDIAN SCHOOL RD STE 8, GOODYEAR, AZ 85395-8407
(623) 303-7724
Mailing address
14175 W INDIAN SCHOOL RD STE 8, GOODYEAR, AZ 85395-8407
(623) 303-7724
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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