COOPER C SCHRAUDENBACH

GRAND CANYON, AZ
NPI1790848299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  45923)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MP  0348)
207Q00000X Family Medicine
(Licence: CA  A067909)
Enumeration Date2006-12-18
Last Update Date2021-03-22
Business Address
COOPER C SCHRAUDENBACH M.D.
1 CLINIC RD
GRAND CANYON, AZ 86023-0290
Phone number: 928-638-2551
Mailing Address
COOPER C SCHRAUDENBACH M.D.
PO BOX 3630
FLAGSTAFF, AZ 86003-3630
Phone number: 928-522-9400