Detrick Mark Cooter
Specialist • Phoenix, AZ
Professional Overview & Biography Verified Profile Summary
Detrick Cooter is a registered healthcare professional specializing in Specialist in Phoenix, AZ. Practice services are available at 406 E MCLELLAN BLVD under active NPI credentials.
Practice Location & Contact Primary Location
406 E Mclellan Blvd
Phoenix, AZ 850121038
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Phoenix, AZ
Practicing in Phoenix, AZ (826 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-09-04NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 406 E MCLELLAN BLVD, PHOENIX, AZ 850121038 (Tel: 5056203864)
Registered at 406 E MCLELLAN BLVD, PHOENIX, AZ 850121038 (Tel: 5056203864)
Recorded as DETRICK COOTER
Specialist (License #CSP40000064 in DC)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
406 E Mclellan Blvd
Phoenix, AZ 850121038
Phone: 5056203864
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