Individual
BENJAMIN EUGENE PUPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
410 E SHERMAN AVE STE 209, COEUR D ALENE, ID 83814-2761
(509) 993-9470
Mailing address
410 E SHERMAN AVE STE 209, COEUR D ALENE, ID 83814-2761
(208) 751-8820
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
6842
MN
111NN0400X
Neurology Chiropractor
Primary
8961561
ID
Other
Enumeration date
04/05/2021
Last updated
08/16/2024
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