Organization
COPPERSTONE DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA KAY INGRAM (EXECUTIVE DIRECTOR)
(712) 899-0763
Entity
Organization
Contact information
Practice address
1309 PIERCE ST, SIOUX CITY, IA 51105-1422
(712) 560-7336
(712) 560-1563
Mailing address
1309 PIERCE ST, SIOUX CITY, IA 51105-1422
(712) 560-7336
(712) 560-1563
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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