Organization
MARK CUPPS DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MARK CUPPS D.C. (CORPORATE PRESIDENT)
(307) 742-4332
Entity
Organization
Contact information
Practice address
212 E IVINSON AVE, LARAMIE, WY 82070-3039
(307) 742-4332
(307) 745-1536
Mailing address
212 E IVINSON AVE, LARAMIE, WY 82070-3039
(307) 742-4332
(307) 745-1536
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
514
WY
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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