Cooper C Schraudenbach in Grand Canyon - Family Medicine

Cooper C Schraudenbach - NPI 1790848299

Cooper C Schraudenbach is a Family Medicine in Grand Canyon, Arizona. Cooper C Schraudenbach practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cooper C Schraudenbach is 1790848299. The last update date is 2021-03-22.

Cooper C Schraudenbach's current location address is 1 Clinic Rd, Grand Canyon, Arizona. You can contact this provider via phone number 9286382551. The mailing address for Cooper C Schraudenbach is 1 Clinic Rd, Grand Canyon, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Cooper C Schraudenbach
Address 1 Clinic Rd, Grand Canyon, Arizona
Phone Number 9286382551
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1790848299
Provider Enumeration Date 2006-12-18
Last Updated Date 2021-03-22

Provider Mailing Address Detail

Address 1 Clinic Rd
City Grand Canyon
State Arizona (AZ)
Post Code 860230290
Phone Number 9286382551
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 348
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A67909 CA LICENSE
348 MP LICENSE
12456 HI LIC

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FAQs about Cooper C Schraudenbach

What is the unique provider identifier assigned to Cooper C Schraudenbach?

The Cooper C Schraudenbach has been issued the NPI (National Provider Identifier) 1790848299 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Cooper C Schraudenbach located?

The Cooper C Schraudenbach is located at 1 Clinic Rd, Grand Canyon, AZ 860230290.

What is the area of specialization for Cooper C Schraudenbach, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Cooper C Schraudenbach is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

When did Cooper C Schraudenbach receive its 1790848299 assignment?

The Cooper C Schraudenbach was assigned its 1790848299 on 2006-12-18, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Cooper C Schraudenbach, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Cooper C Schraudenbach, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-03-22.

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