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Organization
TAHOE ORTHOPEDICS AND SPORTS MEDICINE, INC
Active
Organization
TAHOE ORTHOPEDICS AND SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E. RUPP MD (PRESIDENT)
(530) 541-3100
Entity
Organization
Contact information
Practice address
1139 3RD ST, SOUTH LAKE TAHOE, CA 96150-3465
(530) 541-3100
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G82106
CA
Other
Enumeration date
06/08/2011
Last updated
04/17/2020
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