Individual
JEFFREY DAVID KUPPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
610 N GILBERT RD, SUITE 309, GILBERT, AZ 85234-4502
(480) 926-1111
(480) 926-2958
Mailing address
610 N GILBERT RD, SUITE 309, GILBERT, AZ 85234-4502
(480) 926-1111
(480) 926-2958
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7280
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619494
—
AZ
Enumeration date
01/16/2006
Last updated
12/21/2011
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