Sonia Schupp

NPI #1073976320 in Pinedale, Wyoming

Provider Information

NPI Number: 1073976320
Entity Type: Individual
Name: Sonia Schupp
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 4, 2016
Last Updated: Apr 4, 2016

Practice Location

Address: 191 SOUTH FRANKLIN
City: Pinedale
State: Wyoming
ZIP Code: 82941
Phone: (307) 367-6306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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