Individual
MR. JASON EUGENE CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
52 STURGIS CORNER DR, IOWA CITY, IA 52246-5617
(319) 688-2974
Mailing address
52 STURGIS CORNER DR, IOWA CITY, IA 52246-5617
(319) 688-2974
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A06144
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1181495
—
IA
Enumeration date
11/01/2006
Last updated
07/08/2007
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