Individual
DR. THOMAS CRAIG KUPIEC II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4509 INTEGRIS PKWY STE 200, EDMOND, OK 73034
(405) 657-3950
(405) 471-0040
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 657-3950
(405) 471-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30738
OK
208000000X
Pediatrics Physician
30738
OK
Other
Enumeration date
04/27/2014
Last updated
06/29/2018
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