Organization · Type 2 NPI
Copper State Healthcare PLLC
General Practice Physician · San Tan Valley, AZ
NPI number
1922855519
Active
Practice location
42068 N Rattlesnake Rd
San Tan Valley, AZ 85140-8858
Fax (602) 848-8890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in San Tan Valley
About NPI 1922855519
Copper State Healthcare PLLC's National Provider Identifier is 1922855519, issued on May 2, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Tan Valley, AZ. The record was last updated on Aug 1, 2025.