Provider Demographics
NPI:1457332082
Name:KUPER, ARTHUR C (DO)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:C
Last Name:KUPER
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-292-0034
Mailing Address - Fax:303-292-0097
Practice Address - Street 1:9195 GRANT ST
Practice Address - Street 2:SUITE 100
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4386
Practice Address - Country:US
Practice Address - Phone:303-292-0034
Practice Address - Fax:303-292-0097
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2012-04-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO30722207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO61334065Medicaid
COC811880Medicare PIN
CO61334065Medicaid