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NPI Code Detail

MEDICARE: DR. ALAN K TUPPONCE M.D.

MEDICARE: DR. ALAN K TUPPONCE M.D.
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 Physician0101270925VA
2208000000XPediatrics Physician21275OK

Other Identifiers

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

General Provider Information

NPI Number : 1578651089
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN K TUPPONCE M.D.
Provider Business Mailing Address
First Line : 7864 RICHMOND TAPPAHANNOCK HWY
Second Line :
City : AYLETT
State : VA
Zip : 23009-3056
Country : US
Telephone Number : 804-535-0145
Fax Number : 602-263-1637
Provider Business Practice Location Address
First Line : 7864 RICHMOND TAPPAHANNOCK HWY
Second Line :
City : AYLETT
State : VA
Zip : 23009-3056
Country : US
Telephone Number : 804-535-0145
Fax Number : 602-263-1637
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 11/08/2024

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