Organization
COPPER STATE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLINE STRECKER FNP-BC (PROVIDER)
(928) 514-3722
Entity
Organization
Contact information
Practice address
5556 S INTEGRITY LN, FORT MOHAVE, AZ 86426-8861
(928) 514-3722
Mailing address
5556 S INTEGRITY LN, FORT MOHAVE, AZ 86426-8861
(928) 514-3722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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