Most Relevant Information
Provider Data
| NPI Number: | 1003820150 |
| Provider Name: | MICHAEL CUPP M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208800000X |
| Specialty: | Urology |
| License Number: | 110621 |
Most Important Dates
| Enumeration Date: | 07/27/2006 |
| Last Updated: | 12/09/2021 |
Provider Practice Location
105 N KEENE ST
STE 201
COLUMBIA
MO
652018131
Practice Location Phone/Fax
| Phone: | 5734994990 |
| Fax: | 5734422120 |
Provider Mailing Location
105 N KEENE ST
STE 201
COLUMBIA
MO
652018131
Provider Mailing Phone/Fax
| Phone: | 5734994990 |
| Fax: | 5734422120 |
Suggested EMR
Urologist EMR