Individual
DR. GALE TIMOTHY TUPER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 BOATNER RD STE 114, 96TH MEDICAL GROUP, EGLIN AFB, FL 32542-1302
(850) 883-8264
Mailing address
307 BOATNER RD STE 114, 96TH MEDICAL GROUP, EGLIN AFB, FL 32542-1302
(850) 883-8264
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301084259
MI
Other
Enumeration date
11/07/2006
Last updated
07/26/2011
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