Organization
GARRY H RUPP MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY H RUPP MD (PRESIDENT)
(614) 891-0550
Entity
Organization
Contact information
Practice address
5877 CLEVELAND AVE, COLUMBUS, OH 43231
(614) 891-0550
(614) 891-0429
Mailing address
PO BOX 183027, DEPT LB-05, COLUMBUS, OH 43218-3027
(614) 891-0550
(614) 891-0429
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE2604
RAILROAD MEDICARE
OH
Enumeration date
11/08/2006
Last updated
03/24/2008
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