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Michael Emil Copty, MD
Student in an Organized Health Care Education/Training Program in Yakima, Washington
NPI 1174102792

Michael Emil Copty is a Student in an Organized Health Care Education/Training Program based in Yakima, WA. Michael Emil Copty practices in Yakima, WA and has the professional credentials of MD. The NPI Number for Michael Emil Copty is 1174102792 and holds a License No. ML61305622 (Washington).

The current practice location address for Michael Emil Copty is 1806 W Lincoln Ave, Yakima, WA and can be reached out via phone at 509-452-4520 and via fax at 509-452-5224.

Location: 1806 W Lincoln Ave, Yakima, WA, 98902-3550
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174102792
Provider Name
Michael Emil Copty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1806 W Lincoln Ave, Yakima, WA, 98902-3550
Phone Number
509-452-4520
Fax Number
509-452-5224
Provider Enumeration Date
04/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2214572 05 WA
institution
Provider Business Practice Location Address Details
Address
1806 W Lincoln Ave
City
Yakima
State
Washington
Zip
98902-2473
Phone Number
509-452-4520
Fax Number
509-452-5224
person
Provider Business Mailing Address Details
Address
1806 W Lincoln Ave
City
Yakima
State
Washington
Zip
98902-2473
Phone Number
509-452-4520
Fax Number
509-452-5224
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ML61305622 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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