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Detrick Cooter
NPI 1295560688 · on the registry since 2024 · sole proprietor
Practice
- Address
- 406 E Mclellan Blvd
Phoenix, AZ 85012 - Phone
- (505) 620-3864
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona