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Organization

RUOPP AND RUOPP DDS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK RUOPP DDS (CO OWNER)
(573) 334-8884
Entity
Organization

Contact information

Practice address
1818 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4508
(573) 334-8884
(573) 334-7656
Mailing address
1818 BROADWAY ST, CAPE GIRARDEAU, MO 63701-4508
(573) 334-8884
(573) 334-7656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012544
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2015
BLUE CROSS BLUE SHIELD
01
838019
UNITED CONCORDIA
Enumeration date
01/09/2007
Last updated
08/22/2020
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