Individual
DANIEL TUPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 GREENLEY RD, SONORA, CA 95370-5200
(209) 263-0803
Mailing address
PO BOX 4685, SONORA, CA 95370-1685
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A148671
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2014
Last updated
06/02/2022
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