Individual
PATRICK JOSEPH CUPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2035 WEST GEORGIA STREET, LOUISIANA, MO 63353
(573) 560-5530
(573) 754-6962
Mailing address
554 SPRINGHURST PKWY, O FALLON, MO 63368-7450
(636) 485-2602
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2012004487
MO
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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