Individual
CECIL WATSON CUPP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3633 CENTRAL AVENUE, SUITE D, HOT SPRINGS, AR 71913-6475
(501) 623-6693
(501) 623-9403
Mailing address
3633 CENTRAL AVENUE, SUITE D, HOT SPRINGS, AR 71913-6475
(501) 623-6693
(501) 623-9403
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C5629
AR
2085R0202X
Diagnostic Radiology Physician
Primary
E-5629
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109682001
—
AR
01
—
C5629
STATE LICENSE
AR
Enumeration date
10/26/2005
Last updated
03/07/2023
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