person
Dr. Gerald Van Cupp, MD
Cardiovascular Disease Physician in Columbia, Missouri
NPI 1588827695

Gerald Van Cupp is a Cardiovascular Disease Physician based in Columbia, MO and is specialized in Cardiovascular Disease. Gerald Van Cupp practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Gerald Van Cupp is 1588827695 and holds a License No. R3945 (Missouri).

The current practice location address for Gerald Van Cupp is 1605 E Broadway, Columbia, MO and can be reached out via phone at 573-256-7700.

Location: 1605 E Broadway, Columbia, MO, 65201-7196
person
Provider Profile Details
NPI Number
1588827695
Provider Name
Gerald Van Cupp
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1605 E Broadway, Columbia, MO, 65201-7196
Phone Number
573-256-7700
Fax Number
Provider Enumeration Date
07/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200582302 05 MO
institution
Provider Business Practice Location Address Details
Address
1605 E Broadway
City
State
Zip
65201-8023
Phone Number
573-256-7700
Fax Number
person
Provider Business Mailing Address Details
Address
1605 E Broadway
City
State
Zip
65201-8023
Phone Number
573-256-7700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
R3945 (Missouri)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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