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Individual
DR. DONALD ALLEN TUPPER
Active
Individual
DR. DONALD ALLEN TUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36002145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000118491
ANTHEM / BLUE CROSS
OH
01
—
31-1118753
FEDERAL TAX ID
OH
05
—
557035
—
OH
01
—
P00260813
RAILROAD MEDICARE
OH
Enumeration date
03/20/2006
Last updated
04/07/2016
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