person
Dr. Jeffrey Bruce Pupp, DPM
Foot Surgery Podiatrist in Wilmington, North Carolina
NPI 1497723324

Jeffrey Bruce Pupp is a Foot Surgery Podiatrist based in Wilmington, NC and is specialized in Foot Surgery. Jeffrey Bruce Pupp practices in Wilmington, NC and has the professional credentials of DPM. The NPI Number for Jeffrey Bruce Pupp is 1497723324 and holds a License No. 230 (North Carolina).

The current practice location address for Jeffrey Bruce Pupp is 1602 Doctors Cir, Wilmington, NC and can be reached out via phone at 910-343-8889 and via fax at 910-343-9990. You can also correspond with Jeffrey Bruce Pupp through the mailing address at 1602 DOCTORS CIR, WILMINGTON, NC - 28401-7406 (mailing address contact number: 910-343-8889).

Location: 1602 Doctors Cir, Wilmington, NC, 28401-7406
person
Provider Profile Details
NPI Number
1497723324
Provider Name
Jeffrey Bruce Pupp
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1602 Doctors Cir, Wilmington, NC, 28401-7406
Phone Number
910-343-8889
Fax Number
910-343-9990
Provider Enumeration Date
03/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0809N 01 NC BCBS NC
890809N 05 NC
E1549 01 NC MEDCOST
P00959571 01 NC MEDICARE RAILROAD
E1551 01 NC MEDCOST
institution
Provider Business Practice Location Address Details
Address
1602 Doctors Cir
City
State
Zip
28401-7406
Phone Number
910-343-8889
Fax Number
910-343-9990
person
Provider Business Mailing Address Details
Address
1602 Doctors Cir
City
State
Zip
28401-7406
Phone Number
910-343-8889
Fax Number
910-343-9990
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
230 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
230 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
230 (North Carolina)
Definition
Definition to come...
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