Individual
COOPER C SCHRAUDENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CLINIC RD, GRAND CANYON, AZ 86023-0290
(928) 638-2551
Mailing address
PO BOX 1231, TUCSON, AZ 85702-1231
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0348
MP
207Q00000X
Family Medicine Physician
Primary
45923
AZ
207Q00000X
Family Medicine Physician
A067909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0348
LICENSE
MP
01
—
12456
LIC
HI
01
—
A67909
LICENSE
CA
Enumeration date
12/18/2006
Last updated
04/22/2026
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