Dr. Craig Lee Cupp
Facial Plastic Surgeon
1 Boone Rd Attn: Medical Staff Services
Bremerton
, Washington 98312-1894
Dr. Craig Lee Cupp
Facial Plastic Surgeon
1 Boone Rd Attn: Medical Staff Services
Bremerton
, Washington 98312-1894
(360) 475-4214
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Craig Lee Cupp
- 1 Boone Rd Attn: Medical Staff Services
- Bremerton, WA
- Zip : 98312-1894
- Phone : (360) 475-4214
Second Address
- Dr. Craig Lee Cupp
- 1 Boone Rd Attn: Medical Staff Services
- Bremerton, WA
- Zip : 98312-1894
- Phone : (360) 475-4214
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | G47673 | CA |
National Provider Identifier
| NPI | 1609848621 |
|---|---|
| Provider Name | Dr. Craig Lee Cupp |
| First Address | Bremerton, WA 98312-1894 |
| Second Address | Bremerton, WA 98312-1894 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/02/2006 |
| Last Update Date | 20/08/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.