Healthcare Provider Details

I. General information

NPI: 1457332082
Provider Name (Legal Business Name): ARTHUR C KUPER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT ST SUITE 100
THORNTON CO
80229-4386
US

IV. Provider business mailing address

4900 S MONACO ST SUITE 210
DENVER CO
80237-3486
US

V. Phone/Fax

Practice location:
  • Phone: 303-292-0034
  • Fax: 303-292-0097
Mailing address:
  • Phone: 303-292-0034
  • Fax: 303-292-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number30722
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: