Individual
CHARLES JOHN TUPPER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 COLONIAL DR, HELENA, MT 59601-4926
(406) 444-7500
Mailing address
PO BOX 5539, HELENA, MT 59604-5539
(406) 444-7500
(406) 444-7588
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7477
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045135
—
MT
Enumeration date
12/05/2006
Last updated
07/08/2007
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