Individual
THOMAS C. KUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BANNER BAYWOOD MEDICAL CENTER, 6644 E. BAYWOOD AVE, MESA, AZ 85206-1797
(480) 321-2000
Mailing address
1741 E MORTEN AVE, SUITE C-1, PHOENIX, AZ 85020-4645
(602) 870-0194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18704
AZ
Other
Enumeration date
06/29/2006
Last updated
07/30/2007
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