Individual
TRISTAN DOUGLAS COPPINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 N 5TH ST, PHOENIX, AZ 85004-2157
(602) 827-2450
Mailing address
11003 177TH AVENUE CT E, BONNEY LAKE, WA 98391-5136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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