Mark Cupps Dc, PC

NPI #1346472289 in Laramie, Wyoming

Provider Information

NPI Number: 1346472289
Entity Type: Organization
Organization Name: Mark Cupps Dc, PC
Primary Specialty: Chiropractor
Enumeration Date: Aug 11, 2009
Last Updated: Aug 11, 2009

Practice Location

Address: 212 E IVINSON AVE
City: Laramie
State: Wyoming
ZIP Code: 82070-3039
Phone: (307) 742-4332

Authorized Official

Name: DR. CHARLES MARK CUPPS, D.C.
Title: CORPORATE PRESIDENT
Phone: (307) 742-4332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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