Individual
DR. JOHN JOSEPH KUPKO II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4102 PINION DR, U S A F ACADEMY, CO 80840-2502
(719) 333-5680
Mailing address
4144 DOUGLASS LOOP, U S A F ACADEMY, CO 80840-1005
(719) 472-9571
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21551
CO
207W00000X
Ophthalmology Physician
4910
MT
207W00000X
Ophthalmology Physician
M-4762
ID
Other
Enumeration date
06/22/2005
Last updated
07/08/2007
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