Organization
PROTOTYPE HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMI KUPPERMAN NMD (CEO)
(480) 999-1717
Entity
Organization
Contact information
Practice address
2055 E SOUTHERN AVE STE F, TEMPE, AZ 85282-7507
(480) 999-1717
(480) 999-0773
Mailing address
2055 E SOUTHERN AVE STE F, TEMPE, AZ 85282-7507
(480) 999-1717
(480) 999-0773
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
08/19/2022
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