Individual
LINDA S RUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
428 COUNTY LINE ROAD, WESTERVILLE, OH 43082-7027
(614) 847-4100
(614) 430-1601
Mailing address
428 COUNTY LINE ROAD, WESTERVILLE, OH 43082-7027
(614) 847-4100
(614) 430-1601
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35063009
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000309777
ANTHEM
OH
01
—
P00086803
RR MEDICARE
OH
Enumeration date
12/09/2005
Last updated
07/08/2007
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