Individual
STEPHEN M RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-1873
(206) 223-6600
Mailing address
1100 9TH AVE, MS:M4-PA, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00024152
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022524
—
WA
01
—
50031563
RAILROAD MEDICARE
WA
01
—
RU1606
INDIVIDUAL BLUE SHIELD
WA
Enumeration date
02/24/2006
Last updated
11/06/2012
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