Individual
DR. JASON D RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 COUNTRY HILLS DR, OGDEN, UT 84403-2200
(314) 362-3431
(314) 362-6564
Mailing address
1493 E RIDGELINE DR STE 100, SOUTH OGDEN, UT 84405-4947
(801) 399-1149
(801) 399-0248
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
10392993-1205
UT
207W00000X
Ophthalmology Physician
Primary
2016010391
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164797270
—
IL
05
—
1164797270
—
MO
Enumeration date
03/22/2012
Last updated
10/09/2025
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