Provider Demographics
NPI:1447326442
Name:DUPPER, JOSEPH R (DPM)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:R
Last Name:DUPPER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2828 HIGHWAY 31 S STE 116
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-1538
Mailing Address - Country:US
Mailing Address - Phone:256-340-1500
Mailing Address - Fax:256-340-1566
Practice Address - Street 1:2828 HIGHWAY 31 S STE 116
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-1538
Practice Address - Country:US
Practice Address - Phone:256-340-1500
Practice Address - Fax:256-340-1566
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL158213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL07741OtherBLUE CROSS
U61104Medicare UPIN