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Individual
DR. JEFFREY BRUCE PUPP
Active
Individual
DR. JEFFREY BRUCE PUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
230
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
230
NC
213ES0131X
Foot Surgery Podiatrist
230
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0809N
BCBS NC
NC
05
—
890809N
—
NC
01
—
E1549
MEDCOST
NC
01
—
E1551
MEDCOST
NC
01
—
P00959571
MEDICARE RAILROAD
NC
Enumeration date
03/08/2006
Last updated
09/18/2013
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