Individual
PAUL MICHEAL HUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3838 SHERMAN DR, SUITE 3, RIVERSIDE, CA 92503-4001
(951) 688-9800
(951) 688-1580
Mailing address
3838 SHERMAN DRIVE, SUITE 3, RIVERSIDE, CA 92504-4001
(951) 688-9800
(951) 688-1580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21767
CA
Other
Enumeration date
11/30/2011
Last updated
12/07/2011
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