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Individual

DR. RONALD C RUPPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
(541) 282-6505
(541) 282-6520
Mailing address
2859 STATE ST STE 101, MEDFORD, OR 97504-8495
(541) 282-6505
(541) 282-6520

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO166272
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500675318
OR
Enumeration date
10/04/2005
Last updated
05/12/2022
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