Organization
DANIELA J SCHUPP MD PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA J SCHUPP MD PHD (OWNER)
(970) 210-0357
Entity
Organization
Contact information
Practice address
525 NORTH AVE, GRAND JUNCTION, CO 81501-7512
(970) 986-4418
(833) 382-1178
Mailing address
PO BOX 29936, BELFAST, ME 04915-2051
(970) 986-4418
(833) 382-1178
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
09/08/2021
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