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Organization
STEVEN A RUPERT DO LLC
Active
Organization
STEVEN A RUPERT DO LLC
Active
Other names
MEDICAL CENTER FOR PAIN RELIEF
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN A. RUPERT D.O. (OWNER)
(812) 867-9800
Entity
Organization
Contact information
Practice address
2330 LYNCH RD, SUITE 100, EVANSVILLE, IN 47711-2998
(812) 867-9800
(812) 867-4720
Mailing address
2330 LYNCH RD, SUITE 100, EVANSVILLE, IN 47711-2998
(812) 867-9800
(812) 867-4720
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200850420A
—
IN
Enumeration date
06/29/2006
Last updated
10/26/2015
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