Individual
ADAM KUPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
52481
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R72497
TRAINING PERMIT
AZ
Enumeration date
06/23/2011
Last updated
06/19/2016
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