What is Detrick Cooter's NPI number?

Detrick Cooter's National Provider Identifier (NPI) is 1295560688, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Detrick Cooter's specialty?

Detrick Cooter is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Detrick Cooter located?

Detrick Cooter's practice location on file with NPPES is 406 E Mclellan Blvd, Phoenix, AZ 85012-1038.

What is Detrick Cooter's phone number?

The practice phone number listed in the NPPES registry for Detrick Cooter is (505) 620-3864.

Is Detrick Cooter's NPI active?

Yes — Detrick Cooter's NPI (1295560688) is active in the NPPES registry as of the last update on 2024-09-04.

IndividualActive

Detrick Cooter

NPI 1295560688 · Specialist · Phoenix, AZ

Detrick Cooter is a Specialist provider in Phoenix, AZ (NPI 1295560688).

Provider details

NPI number: 1295560688
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Male
Sole proprietor: Yes
License: CSP40000064 (DC)

Specialties & taxonomies

SpecialistPrimary174400000XLicense CSP40000064 (DC)
Other Service Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

406 E Mclellan Blvd

Phoenix, AZ 85012-1038

Phone: (505) 620-3864

Street-level locationGet directions

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Mailing address