Individual
DR. SHANNON L. CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2550 S PARKER RD, AURORA, CO 80014-1622
(303) 636-3300
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34898
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01348986
—
CO
01
—
8909
KAISER COMMERCIAL NUMBER
CO
Enumeration date
02/14/2008
Last updated
06/18/2021
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