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Organization

COPPER VALLEY PRIMARY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA MONCADA (APN)
(520) 207-3913
Entity
Organization

Contact information

Practice address
7290 E BROADWAY BLVD STE 178, TUCSON, AZ 85710-0412
(520) 306-7717
Mailing address
7290 E BROADWAY BLVD STE 142, TUCSON, AZ 85710-0410
(520) 207-3913
(520) 207-5451

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7797
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046408
AZ
Enumeration date
10/17/2017
Last updated
07/11/2022
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