NPI 1073976320

Sonia Schupp

Practitioner Specialist Pinedale, WY

Practice location

Address: 191 South Franklin, Pinedale, WY 82941
Phone: (307) 367-6306
Mailing address: PO Box 955, Pinedale, WY 82941-0955

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OT-647 (WY)

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Registry record

NPI: 1073976320
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Apr 2016
Record last updated: 4 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.