Individual
DUSTIN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6331
Mailing address
7501 RIVERSIDE PKWY, TULSA, OK 74136-5056
(918) 710-4200
(918) 403-6331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4632
OK
Other
Enumeration date
07/31/2008
Last updated
12/03/2018
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