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1982632055
THOMAS C. KUPKA
MESA, AZ
NPI
1982632055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 18704)
Enumeration Date
2006-06-29
Last Update Date
2007-07-30
Business Address
-- THOMAS C. KUPKA M.D.
BANNER BAYWOOD MEDICAL CENTER 6644 E. BAYWOOD AVE
MESA, AZ 85206-1797
Phone number: 480-321-2000
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Mailing Address
-- THOMAS C. KUPKA M.D.
1741 E MORTEN AVE SUITE C-1
PHOENIX, AZ 85020-4645
Phone number: 602-870-0194
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