Individual
DR. JERRY LEE CUPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8406 CLAY ST, WESTMINSTER, CO 80031-3810
(303) 428-7571
(303) 428-3587
Mailing address
8406 CLAY ST, WESTMINSTER, CO 80031-3810
(303) 428-7571
(303) 428-3587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D23048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16337
LICENCE
CO
Enumeration date
03/12/2007
Last updated
03/07/2023
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