NPI Profile for DIANNE G TUPPER in OKLAHOMA CITY, OK.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Orthopedic |
163WX0800X | |||
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1740578103 |
|
| Status | Active | |
| Credentials | R.N., OPA-C | |
| Entity | Individual | |
| Enumeration date | 07/19/2011 | |
| Last updated | 06/08/2023 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DIANNE G TUPPER
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