Organization
COPPER CREEK MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED A TALL RRT, RPSGT (PRESIDENT)
(509) 998-4309
Entity
Organization
Contact information
Practice address
1818 S UNION AVE, SUITE 2B, TACOMA, WA 98405-1953
(253) 759-2700
(253) 759-9986
Mailing address
1512 N VERCLER RD, SUITE 1, SPOKANE VALLEY, WA 99216-1087
(509) 465-5522
(509) 465-2642
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
10/12/2012
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