Individual
DR. ALAN K TUPPONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 535-0145
(602) 263-1637
Mailing address
7864 RICHMOND TAPPAHANNOCK HWY, AYLETT, VA 23009-3056
(804) 535-0145
(602) 263-1637
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101270925
VA
208000000X
Pediatrics Physician
21275
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001529971
—
VA
Enumeration date
10/10/2006
Last updated
11/08/2024
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