Individual
ALEX B CUPPAWHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 E 5TH AVE, STILLWATER, OK 74074-3817
(405) 747-6578
Mailing address
1203 E 5TH AVE, STILLWATER, OK 74074-3817
(405) 747-6578
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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