Individual
DR. CRAIG LEE CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, ED.D
Contact information
Practice address
1 BOONE RD, ATTN: MEDICAL STAFF SERVICES, BREMERTON, WA 98312-1894
(360) 475-4214
Mailing address
1 BOONE RD, ATTN: MEDICAL STAFF SERVICES, BREMERTON, WA 98312-1894
(360) 475-4214
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G47673
CA
Other
Enumeration date
02/03/2006
Last updated
08/20/2010
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