Randal Curtis Cupp, PA-C

NPI #1205024866 in Tacoma, Washington

Provider Information

NPI Number: 1205024866
Entity Type: Individual
Name: Randal Curtis Cupp, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 9, 2007
Last Updated: Dec 15, 2021

Practice Location

Address: 1717 S J ST
City: Tacoma
State: Washington
ZIP Code: 98405-4933
Phone: (253) 426-6341

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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