# DR. ALAN K TUPPONCE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578651089
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101270925 | VA | Yes |
| 208000000X | Pediatrics Physician | 21275 | OK | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 11/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3001529971 | — | VA |