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NPI Code Detail

MEDICARE: DR. PAUL W CUMP D. O.

MEDICARE: DR. PAUL W CUMP D. O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician907SC
2207Q00000XFamily Medicine Physician35422CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235193343
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL W CUMP D. O.
Provider Business Mailing Address
First Line : 3205 N ACADEMY BLVD
Second Line : SUITE 130
City : COLORADO SPRINGS
State : CO
Zip : 80917-5101
Country : US
Telephone Number : 719-632-5700
Fax Number : 719-344-7837
Provider Business Practice Location Address
First Line : 350 PRINTERS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3190
Country : US
Telephone Number : 719-632-5700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2006
Last Update Date : 04/03/2017

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Directions to “ DR. PAUL W CUMP D. O.” Practice Location

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